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1851176101
ANTHONY RONALD BLAIR
PORTLAND, OR
NPI
1851176101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR R8526)
Enumeration Date
2023-08-25
Last Update Date
2023-08-25
Business Address
ANTHONY RONALD BLAIR LPCa
11740 SW 68TH PKWY STE 200
PORTLAND, OR 97223-9058
Phone number: 503-908-4497
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Mailing Address
ANTHONY RONALD BLAIR LPCa
2355 STATE ST STE 101
SALEM, OR 97301-4541
Phone number: 503-908-4497
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