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1649527912
CHRISTOPHER COLIN CLARK
PORTLAND, OR
NPI
1649527912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
372600000X Adult Companion
Enumeration Date
2012-08-06
Last Update Date
2017-07-26
Business Address
-- CHRISTOPHER COLIN CLARK BS, MA
2375 NW GLISAN ST
PORTLAND, OR 97210-3420
Phone number: 503-243-2236
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Mailing Address
-- CHRISTOPHER COLIN CLARK BS, MA
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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