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1821751389
BRADLEY PANKEY
SALEM, OR
NPI
1821751389
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR R7988)
Enumeration Date
2021-10-20
Last Update Date
2024-01-23
Business Address
BRADLEY PANKEY
2355 STATE ST STE 101
SALEM, OR 97301-4541
Phone number: 971-415-1036
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Mailing Address
BRADLEY PANKEY
3324 N ARLINGTON PL
PORTLAND, OR 97217-7204
Phone number: 971-404-9406
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