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1912397977
PORTLAND IOP, LLC
PORTLAND, OR
NPI
1912397977
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Entity Type
Organization
Authorized Contact
MILTON PARHAM
Executive Director
509-668-8008
Organization Subpart ?
No
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2015-01-29
Last Update Date
2015-01-29
Business Address
PORTLAND IOP, LLC
2675 NW THURMAN ST
PORTLAND, OR 97210-2202
Phone number: 503-825-7046
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Mailing Address
PORTLAND IOP, LLC
2675 NW THURMAN ST
PORTLAND, OR 97210-2202
Phone number: 503-825-7046
Copy
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