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1881975373
GREGORY EVAN BIRNBAUM
PORTLAND, OR
NPI
1881975373
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-08-29
Last Update Date
2017-11-28
Business Address
GREGORY EVAN BIRNBAUM
847 NE 19TH AVE STE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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Mailing Address
GREGORY EVAN BIRNBAUM
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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