SEAN NELSON

PORTLAND, OR
NPI1700350402
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR  T-18-469)
Enumeration Date2019-01-15
Last Update Date2019-01-15
Business Address
SEAN NELSON
1122 NE 122ND AVE STE 102
PORTLAND, OR 97230-2081
Phone number: 310-750-8960
Mailing Address
SEAN NELSON
11006 SE HENDERSON DR
PORTLAND, OR 97266-5063
Phone number:
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