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1760145395
ERICK ALLEN
PORTLAND, OR
NPI
1760145395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 21-1010253)
Enumeration Date
2021-10-20
Last Update Date
2021-10-20
Business Address
ERICK ALLEN CADC1
1817 NE 6TH AVE
PORTLAND, OR 97212-3960
Phone number: 503-719-7985
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Mailing Address
ERICK ALLEN CADC1
PO BOX 16816
PORTLAND, OR 97292-0816
Phone number: 503-890-7356
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