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1902567845
CHARLES WYLIE
PORTLAND, OR
NPI
1902567845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2022-01-03
Last Update Date
2022-01-03
Business Address
CHARLES WYLIE
7916 SE FOSTER RD STE 201
PORTLAND, OR 97206-4289
Phone number: 503-290-8850
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Mailing Address
CHARLES WYLIE
PO BOX 16576
PORTLAND, OR 97292-0576
Phone number:
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