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1811256555
ALEX BISTROI
PORTLAND, OR
NPI
1811256555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-05-15
Last Update Date
2012-05-15
Business Address
-- ALEX BISTROI QMHA
605 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214-3216
Phone number: 503-231-7480
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Mailing Address
-- ALEX BISTROI QMHA
605 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214-3216
Phone number: 503-231-7480
Copy
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