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1912060237
CLARKE D. GALUSHA
PORTLAND, OR
NPI
1912060237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
372600000X Adult Companion
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
-- CLARKE D. GALUSHA QMHA
509 NE ALBERTA ST
PORTLAND, OR 97211-3976
Phone number: 503-249-7767
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Mailing Address
-- CLARKE D. GALUSHA QMHA
4105 SE BOISE ST
PORTLAND, OR 97202-3129
Phone number: 503-453-3893
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