SAMUEL DODGE SOULE

PORTLAND, OR
NPI1881351765
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-11-26
Last Update Date2021-11-26
Business Address
SAMUEL DODGE SOULE
1825 NE GLISAN ST
PORTLAND, OR 97232-2844
Phone number: 503-963-7676
Mailing Address
SAMUEL DODGE SOULE
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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