MARK EDWARD HOLDERBACH

GRESHAM, OR
NPI1649397183
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L3497)
Enumeration Date2007-03-22
Last Update Date2007-07-09
Business Address
Mr. MARK EDWARD HOLDERBACH M.S.W., L.C.S.W.
4101 NE DIVISION ST
GRESHAM, OR 97030-4617
Phone number: 503-666-6575
Mailing Address
Mr. MARK EDWARD HOLDERBACH M.S.W., L.C.S.W.
14978 SW EMERALD CT
BEAVERTON, OR 97007-8560
Phone number: 503-666-6575
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