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1790709475
HARRY DARDEN SHANKS
GRESHAM, OR
NPI
1790709475
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
-- HARRY DARDEN SHANKS QMHP
400 NE 7TH ST
GRESHAM, OR 97030-5604
Phone number: 503-661-5455
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Mailing Address
-- HARRY DARDEN SHANKS QMHP
38757 SAWYER ST
SANDY, OR 97055-9220
Phone number: 503-826-1802
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