ETHAN DAVID PETTYJOHN

PORTLAND, OR
NPI1619452307
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: OR  C7752)
Enumeration Date2018-09-27
Last Update Date2023-11-13
Business Address
ETHAN DAVID PETTYJOHN LPC
9755 SW BARNES RD
PORTLAND, OR 97225-6651
Phone number: 503-444-4862
Mailing Address
ETHAN DAVID PETTYJOHN LPC
4370 SW 107TH AVE APT 4
BEAVERTON, OR 97005-3187
Phone number: 978-621-4162
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