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1811249782
MICHAEL RAY GOSSMAN
PORTLAND, OR
NPI
1811249782
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-10-03
Last Update Date
2012-10-03
Business Address
-- MICHAEL RAY GOSSMAN
1708 SW COLUMBIA ST
PORTLAND, OR 97201-2539
Phone number: 503-726-3814
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Mailing Address
-- MICHAEL RAY GOSSMAN
1708 SW COLUMBIA ST
PORTLAND, OR 97201-2539
Phone number: 503-726-3814
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