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1659541183
MARK WILLIAM SMITH
PORTLAND, OR
NPI
1659541183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2008-03-12
Last Update Date
2008-03-12
Business Address
MARK WILLIAM SMITH M.S.W.
722 NE 162ND AVE
PORTLAND, OR 97230-5760
Phone number: 503-408-5074
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Mailing Address
MARK WILLIAM SMITH M.S.W.
1530 SW 13TH AVE APT 517
PORTLAND, OR 97201-3396
Phone number:
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