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1679181689
ISAAC RIDER
PORTLAND, OR
NPI
1679181689
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C7567)
Enumeration Date
2020-07-15
Last Update Date
2024-04-19
Business Address
ISAAC RIDER MS, LPC
916 SW KING AVE STE 205
PORTLAND, OR 97205-1331
Phone number: 503-208-4629
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Mailing Address
ISAAC RIDER MS, LPC
916 SW KING AVE STE 205
PORTLAND, OR 97205-1331
Phone number:
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