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1821212713
DEVON A MATHEWS
TIGARD, OR
NPI
1821212713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 041158)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
-- DEVON A MATHEWS CADCII
11945 SW PACIFIC HWY #113
TIGARD, OR 97223-6469
Phone number: 503-684-8159
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Mailing Address
-- DEVON A MATHEWS CADCII
19345 ROBIN CIR #84
WEST LINN, OR 97068-2386
Phone number: 503-635-2088
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