STEVEN WADE

PORTLAND, OR
NPI1750886255
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: OR  THW1630)
Enumeration Date2018-03-27
Last Update Date2018-06-16
Business Address
STEVEN WADE
4512 NE PORTLAND HWY
PORTLAND, OR 97218-1363
Phone number: 503-935-1513
Mailing Address
STEVEN WADE
4512 NE PORTLAND HWY
PORTLAND, OR 97218-1363
Phone number: 503-935-1513
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