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1689363053
MICHAEL CROSE
PORTLAND, OR
NPI
1689363053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-05-02
Last Update Date
2024-10-22
Business Address
MICHAEL CROSE
10920 SW BARBUR BLVD
PORTLAND, OR 97219-8600
Phone number: 503-347-7117
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Mailing Address
MICHAEL CROSE
10920 SW BARBUR BLVD
PORTLAND, OR 97219-8600
Phone number: 503-347-7117
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