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1629118328
WENDELL E. JOHN
PORTLAND, OR
NPI
1629118328
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
372600000X Adult Companion
Enumeration Date
2007-02-08
Last Update Date
2007-07-08
Business Address
-- WENDELL E. JOHN BA QMHA
2330 NE SISKIYOU ST
PORTLAND, OR 97212-2471
Phone number: 503-528-0757
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Mailing Address
-- WENDELL E. JOHN BA QMHA
4042 NE 10TH AVE
PORTLAND, OR 97212-1223
Phone number: 503-281-6974
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