BEAU PORTER

MCMINNVILLE, OR
NPI1619606951
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2022-06-09
Last Update Date2024-12-30
Business Address
BEAU PORTER
420 NE 5TH ST.
MCMINNVILLE, OR 97128
Phone number: 503-474-7750
Mailing Address
BEAU PORTER
1301 GOUCHER ST
AMITY, OR 97101-1215
Phone number: 503-474-7750
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