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1588908560
MATTHEW J THOMAS
CORVALLIS, OR
NPI
1588908560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-11-15
Last Update Date
2012-11-15
Business Address
-- MATTHEW J THOMAS
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 503-813-7746
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Mailing Address
-- MATTHEW J THOMAS
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 502-234-9591
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