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1912133695
GREGORY ARCHER
WOOD VILLAGE, OR
NPI
1912133695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-06-08
Last Update Date
2009-06-08
Business Address
-- GREGORY ARCHER
23500 NE HALSEY ST
WOOD VILLAGE, OR 97060-2815
Phone number: 503-512-7503
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Mailing Address
-- GREGORY ARCHER
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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