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1720194392
DOUGLAS K O'DELL
CLACKAMAS, OR
NPI
1720194392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR OR 97-04-47)
Enumeration Date
2006-08-23
Last Update Date
2007-07-08
Business Address
-- DOUGLAS K O'DELL M.A.
10163 SE SUNNYSIDE RD STE 490
CLACKAMAS, OR 97015-5720
Phone number: 503-513-4413
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Mailing Address
-- DOUGLAS K O'DELL M.A.
1395 CORNELL AVE
GLADSTONE, OR 97027-4607
Phone number: 503-657-7232
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