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1750571618
JUSTIN LEAK
PORTLAND, OR
NPI
1750571618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2007-07-26
Last Update Date
2007-07-26
Business Address
-- JUSTIN LEAK
0615 SW PALATINE HILL RD MSC 101
PORTLAND, OR 97219-7879
Phone number: 503-535-1181
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Mailing Address
-- JUSTIN LEAK
0615 SW PALATINE HILL RD MSC 101
PORTLAND, OR 97219-7879
Phone number: 503-535-1181
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