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1750060521
JOSHUA MICHAEL COUGHLIN
PORTLAND, OR
NPI
1750060521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-07-17
Last Update Date
2023-07-17
Business Address
JOSHUA MICHAEL COUGHLIN
211 NE 18TH AVE
PORTLAND, OR 97232-2822
Phone number: 503-880-6341
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Mailing Address
JOSHUA MICHAEL COUGHLIN
6285 CALDWELL RD APT 34
GLADSTONE, OR 97027-1573
Phone number: 503-880-6341
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