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1912213208
COREY LYNN FISHER
PORTLAND, OR
NPI
1912213208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2010-08-24
Last Update Date
2017-08-02
Business Address
COREY LYNN FISHER
847 NE 19TH AVE SUITE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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Mailing Address
COREY LYNN FISHER
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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