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1861212367
EITAN CODISH
PORTLAND, OR
NPI
1861212367
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR R10171)
Enumeration Date
2024-10-10
Last Update Date
2024-10-10
Business Address
EITAN CODISH
150 NE 202ND AVE
PORTLAND, OR 97230-8120
Phone number: 503-808-0373
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Mailing Address
EITAN CODISH
150 NE 202ND AVE
PORTLAND, OR 97230-8120
Phone number: 503-808-0373
Copy
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