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1902060635
WILLIAM JOHN GIBSON
PORTLAND, OR
NPI
1902060635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00001486)
Enumeration Date
2008-07-11
Last Update Date
2008-07-11
Business Address
Mr. WILLIAM JOHN GIBSON Addiction Tharapist
3710 SW US VETERANS HOSPITAL RD V-3-SATP
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
Mr. WILLIAM JOHN GIBSON Addiction Tharapist
PO BOX 1035
PORTLAND, OR 97207-1035
Phone number: 503-220-8262
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