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1619015153
DAVID EBAUGH
PORTLAND, OR
NPI
1619015153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L003678)
Enumeration Date
2007-02-04
Last Update Date
2007-07-08
Business Address
Mr. DAVID EBAUGH LCSW
2303 E BURNSIDE ST
PORTLAND, OR 97214-1655
Phone number: 503-245-3370
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Mailing Address
Mr. DAVID EBAUGH LCSW
6315 N CAMPBELL AVE
PORTLAND, OR 97217-4914
Phone number: 503-345-3370
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