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1811660905
HARRISON AIDALA
PORTLAND, OR
NPI
1811660905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-07-26
Last Update Date
2021-07-26
Business Address
HARRISON AIDALA CADC-R
1030 NE COUCH ST
PORTLAND, OR 97232-3067
Phone number: 503-239-8400
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Mailing Address
HARRISON AIDALA CADC-R
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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