DEREK LEE WARD

PORTLAND, OR
NPI1659918886
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies372600000X Adult Companion
Enumeration Date2019-12-06
Last Update Date2021-08-17
Business Address
DEREK LEE WARD
1030 NE COUCH ST
PORTLAND, OR 97232-3067
Phone number: 503-239-8400
Mailing Address
DEREK LEE WARD
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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