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1780715003
JOHN M BLACKMON
PORTLAND, OR
NPI
1780715003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
Mr. JOHN M BLACKMON QMHA
13317 SE POWELL BLVD
PORTLAND, OR 97236-3335
Phone number: 503-760-9606
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Mailing Address
Mr. JOHN M BLACKMON QMHA
19766 SE 38TH WAY
CAMAS, WA 98607-8851
Phone number: 503-956-2384
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