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1679833586
CHARLES DWIGHT HANNAH
PORTLAND, OR
NPI
1679833586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-05-24
Last Update Date
2012-05-24
Business Address
-- CHARLES DWIGHT HANNAH
3034 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212-3053
Phone number: 503-889-2500
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Mailing Address
-- CHARLES DWIGHT HANNAH
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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