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1730385113
KHAMONE KEOPRASEUTH
PORTLAND, OR
NPI
1730385113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-06-22
Last Update Date
2007-07-08
Business Address
Mr. KHAMONE KEOPRASEUTH MSW
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-6137
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Mailing Address
Mr. KHAMONE KEOPRASEUTH MSW
14255 SE TERRITORY DR
CLACKAMAS, OR 97015-5468
Phone number:
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