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1619606951
CODY PORTER
TIGARD, OR
NPI
1619606951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-06-09
Last Update Date
2024-03-03
Business Address
CODY PORTER
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3740
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Mailing Address
CODY PORTER
738 NE DAVIS ST
PORTLAND, OR 97232-2931
Phone number: 503-233-6090
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