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1780220145
JAMES MICHAEL ETHRIDGE
PORTLAND, OR
NPI
1780220145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: OR M6016)
Enumeration Date
2019-11-20
Last Update Date
2019-11-20
Business Address
Mr. JAMES MICHAEL ETHRIDGE LMSW
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
Mr. JAMES MICHAEL ETHRIDGE LMSW
PO BOX 505
SEASIDE, OR 97138-0505
Phone number: 503-841-7722
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