IGWE WATERS

PORTLAND, OR
NPI1760923791
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-03-09
Last Update Date2017-03-09
Business Address
-- IGWE WATERS
17214 SE DIVISION ST
PORTLAND, OR 97236-1282
Phone number: 503-761-5272
Mailing Address
-- IGWE WATERS
17214 SE DIVISION ST
PORTLAND, OR 97236-1282
Phone number: 503-761-5272
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