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1700281110
KEVIN MARK FARRIS
PORTLAND, OR
NPI
1700281110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-10-28
Last Update Date
2014-10-28
Business Address
-- KEVIN MARK FARRIS
421 SW OAK ST STE 520
PORTLAND, OR 97204-1810
Phone number: 503-988-5464
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Mailing Address
-- KEVIN MARK FARRIS
421 SW OAK ST STE 520
PORTLAND, OR 97204-1810
Phone number: 503-988-5464
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