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1790285021
DAVID MAIAVA-HALL
PORTLAND, OR
NPI
1790285021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-02-13
Last Update Date
2018-02-13
Business Address
DAVID MAIAVA-HALL MSCP
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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Mailing Address
DAVID MAIAVA-HALL MSCP
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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