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1619746526
JAMES BLAKE
TIGARD, OR
NPI
1619746526
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-12-20
Last Update Date
2023-12-20
Business Address
JAMES BLAKE
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3774
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Mailing Address
JAMES BLAKE
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3774
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