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1609200419
TIMOTHY ASSAD
MCMINNVILLE, OR
NPI
1609200419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-08-28
Last Update Date
2013-08-28
Business Address
-- TIMOTHY ASSAD
627 NE EVANS ST
MCMINNVILLE, OR 97128-3923
Phone number: 503-434-7523
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Mailing Address
-- TIMOTHY ASSAD
10625 SW WEDGEWOOD ST
PORTLAND, OR 97225-5126
Phone number: 503-459-7624
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