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1588094965
JOHN GROSS
PORTLAND, OR
NPI
1588094965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR 03-03-17)
Enumeration Date
2013-11-20
Last Update Date
2013-11-20
Business Address
JOHN GROSS CADC I
TSNW 948 NE 102ND ST. SUITE 101
PORTLAND, OR 97220
Phone number: 503-257-0381
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Mailing Address
JOHN GROSS CADC I
984 NE 102ND ST SUITE 101
PORTLAND, OR 97220
Phone number: 503-257-0381
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