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1851759641
BRADFORD LEAGUE
PORTLAND, OR
NPI
1851759641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-02-08
Last Update Date
2016-02-08
Business Address
BRADFORD LEAGUE
17640 NE HALSEY ST
PORTLAND, OR 97230-6733
Phone number: 503-489-5045
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Mailing Address
BRADFORD LEAGUE
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 503-465-2621
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