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1912150533
KEVIN ORT
ALBANY, OR
NPI
1912150533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 2201298)
Enumeration Date
2008-10-28
Last Update Date
2008-10-28
Business Address
-- KEVIN ORT
104 4TH AVE SW RM 238
ALBANY, OR 97321-2804
Phone number: 541-967-3819
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Mailing Address
-- KEVIN ORT
PO BOX 100
ALBANY, OR 97321-0031
Phone number: 541-967-3819
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