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1861940157
SAUL IBARRA
PORTLAND, OR
NPI
1861940157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-09-14
Last Update Date
2016-09-14
Business Address
-- SAUL IBARRA
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218-1404
Phone number: 503-535-1150
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Mailing Address
-- SAUL IBARRA
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number: 503-535-1150
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