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1871953380
RUSSELL BAUERLEIN
PORTLAND, OR
NPI
1871953380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2016-02-25
Last Update Date
2016-02-25
Business Address
-- RUSSELL BAUERLEIN
707 NE COUCH ST
PORTLAND, OR 97232-2922
Phone number: 503-542-4603
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Mailing Address
-- RUSSELL BAUERLEIN
707 NE COUCH ST
PORTLAND, OR 97232-2922
Phone number: 503-542-4603
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