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1609173384
BRIAN PORTER
WILSONVILLE, OR
NPI
1609173384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-02-16
Last Update Date
2018-10-30
Business Address
BRIAN PORTER
29120 SW SAN REMO CT
WILSONVILLE, OR 97070-7373
Phone number: 503-682-1840
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Mailing Address
BRIAN PORTER
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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