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1811358971
JAIME ALBERTO CHAVEZ
BEAVERTON, OR
NPI
1811358971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 10129090)
Enumeration Date
2016-03-16
Last Update Date
2016-03-16
Business Address
Mr. JAIME ALBERTO CHAVEZ
5040 SW GRIFFITH DR STE 100
BEAVERTON, OR 97005-8717
Phone number: 503-641-0963
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Mailing Address
Mr. JAIME ALBERTO CHAVEZ
5040 SW GRIFFITH DR STE 100
BEAVERTON, OR 97005-8717
Phone number: 503-641-0963
Copy
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