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1619467891
KIRK STANCZYK
PORTLAND, OR
NPI
1619467891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-05-14
Last Update Date
2018-05-14
Business Address
KIRK STANCZYK
324 NW DAVIS ST
PORTLAND, OR 97209-3925
Phone number: 503-226-2203
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Mailing Address
KIRK STANCZYK
324 NW DAVIS ST
PORTLAND, OR 97209-3925
Phone number:
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