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1588798417
MICHAEL D LEAVITT
LAKE OSWEGO, OR
NPI
1588798417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
-- MICHAEL D LEAVITT
2507 CHRISTIE DRIVE
LAKE OSWEGO, OR 97034
Phone number: 503-635-3416
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Mailing Address
-- MICHAEL D LEAVITT
PO BOX 368
MARYLHURST, OR 97036-0368
Phone number: 503-635-3416
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