KEVIN ANTHONY MICHAELSON

PORTLAND, OR
NPI1760720858
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-01-23
Last Update Date2015-02-17
Business Address
-- KEVIN ANTHONY MICHAELSON CADC 1
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-236-2290
Mailing Address
-- KEVIN ANTHONY MICHAELSON CADC 1
1027 E BURNSIDE CODA
PORTLAND, OR 97214
Phone number: 503-236-2290
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