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1912738501
MICHAEL FETTERS
PORTLAND, OR
NPI
1912738501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-08-13
Last Update Date
2024-08-13
Business Address
MICHAEL FETTERS CADC-R
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-546-6377
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Mailing Address
MICHAEL FETTERS CADC-R
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number:
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