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1619625910
JAMIE D GOTTLIEB
PORTLAND, OR
NPI
1619625910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 23-QMHA-I-003642)
Enumeration Date
2022-03-15
Last Update Date
2025-07-17
Business Address
JAMIE D GOTTLIEB QMHA-I
1310 SW 17TH AVE
PORTLAND, OR 97201-2522
Phone number: 503-231-2641
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Mailing Address
JAMIE D GOTTLIEB QMHA-I
211 SE CARUTHERS ST
PORTLAND, OR 97214-4502
Phone number: 503-224-1044
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