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1578993432
JAMES RENNICK
PORTLAND, OR
NPI
1578993432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C0043)
Enumeration Date
2013-11-13
Last Update Date
2013-11-13
Business Address
-- JAMES RENNICK
707 NE COUCH ST
PORTLAND, OR 97232-2922
Phone number: 503-542-4603
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Mailing Address
-- JAMES RENNICK
707 NE COUCH ST
PORTLAND, OR 97232-2922
Phone number: 503-542-4603
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FLIGHT THERAPY, LLC