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1841359601
JOHN KENT NEIHEISEL
PORTLAND, OR
NPI
1841359601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 0570)
Enumeration Date
2006-12-07
Last Update Date
2007-07-08
Business Address
Mr. JOHN KENT NEIHEISEL msw
1962 NW KEARNEY ST STE L102
PORTLAND, OR 97209-1459
Phone number: 503-525-1148
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Mailing Address
Mr. JOHN KENT NEIHEISEL msw
4403 SW 47TH DR
PORTLAND, OR 97221-3734
Phone number: 503-227-4722
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