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1720674096
RODGER EGO
PORTLAND, OR
NPI
1720674096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 201016)
Enumeration Date
2020-12-21
Last Update Date
2020-12-21
Business Address
RODGER EGO
10920 SW BARBUR BLVD
PORTLAND, OR 97219-8600
Phone number: 503-244-4500
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Mailing Address
RODGER EGO
10920 SW BARBUR BLVD
PORTLAND, OR 97219-8600
Phone number: 503-244-4500
Copy
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