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1679116933
SPENCER PRADITH OUNAPHOM
TIGARD, OR
NPI
1679116933
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2019-10-18
Last Update Date
2019-10-18
Business Address
SPENCER PRADITH OUNAPHOM
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
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Mailing Address
SPENCER PRADITH OUNAPHOM
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
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