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1639826266
JUSTIN D BUCHANAN
PORTLAND, OR
NPI
1639826266
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-03-03
Last Update Date
2022-03-03
Business Address
JUSTIN D BUCHANAN AGS, CADC I R
1427 SE 182ND AVE
PORTLAND, OR 97233-5008
Phone number: 971-533-1369
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Mailing Address
JUSTIN D BUCHANAN AGS, CADC I R
1427 SE 182ND AVE
PORTLAND, OR 97233-5008
Phone number: 971-533-1369
Copy
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