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1871639260
BYRON BURRELL BENDER
BEAVERTON, OR
NPI
1871639260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2007-01-30
Last Update Date
2016-01-16
Business Address
-- BYRON BURRELL BENDER QMHP
2595 SW 211TH CT
BEAVERTON, OR 97003-1675
Phone number: 503-591-8318
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Mailing Address
-- BYRON BURRELL BENDER QMHP
2595 SW 211TH CT
BEAVERTON, OR 97003-1675
Phone number: 503-591-8318
Copy
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