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1710346234
NATHAN JAMES PERRY
GRESHAM, OR
NPI
1710346234
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR 16-P-03)
Enumeration Date
2016-02-11
Last Update Date
2024-08-05
Business Address
NATHAN JAMES PERRY CADC II
620 NE 2ND ST
GRESHAM, OR 97030-7514
Phone number: 971-274-3757
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Mailing Address
NATHAN JAMES PERRY CADC II
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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