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1730547290
SAMUEL WIRSHUP
PORTLAND, OR
NPI
1730547290
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-01-29
Last Update Date
2016-10-19
Business Address
SAMUEL WIRSHUP
17710 NE HALSEY ST
PORTLAND, OR 97230-6734
Phone number: 503-328-8311
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Mailing Address
SAMUEL WIRSHUP
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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