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1699400333
JOHN FOREST MCGINNIS-FEAZLE
PORTLAND, OR
NPI
1699400333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-07-18
Last Update Date
2022-07-18
Business Address
JOHN FOREST MCGINNIS-FEAZLE
5725 NE PRESCOTT ST
PORTLAND, OR 97218-2275
Phone number: 503-402-8101
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Mailing Address
JOHN FOREST MCGINNIS-FEAZLE
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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