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1649726621
KENNETH HOOVER
PORTLAND, OR
NPI
1649726621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-08-30
Last Update Date
2016-08-30
Business Address
Mr. KENNETH HOOVER
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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Mailing Address
Mr. KENNETH HOOVER
7300 SW GARDEN HOME RD APT 4
PORTLAND, OR 97223-7615
Phone number: 503-899-3843
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