SAM UPDIKE

BEAVERTON, OR
NPI1851677652
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-10-25
Last Update Date2011-10-25
Business Address
-- SAM UPDIKE
10120 SW CYNTHIA ST
BEAVERTON, OR 97008-6078
Phone number: 503-810-7348
Mailing Address
-- SAM UPDIKE
11970 SW GREENBURG RD
TIGARD, OR 97223-6453
Phone number:
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