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1710721626
KHALID M OTHMAN
PORTLAND, OR
NPI
1710721626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-06-24
Last Update Date
2024-06-24
Business Address
KHALID M OTHMAN
1508 SW 13TH AVE
PORTLAND, OR 97201-3312
Phone number: 971-255-3966
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Mailing Address
KHALID M OTHMAN
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3740
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