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1649403460
RAYMOND W PETERSON
PORTLAND, OR
NPI
1649403460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C0457)
Enumeration Date
2009-08-27
Last Update Date
2009-08-27
Business Address
-- RAYMOND W PETERSON Ph.D., LPC
8035 NE PRESCOTT ST
PORTLAND, OR 97218-4249
Phone number: 503-223-7719
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Mailing Address
-- RAYMOND W PETERSON Ph.D., LPC
2149 CASCADE AVE 106A-44
HOOD RIVER, OR 97031-1087
Phone number: 503-223-7719
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