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1932491792
RYAN LEIDERMAN
PORTLAND, OR
NPI
1932491792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C7720)
Enumeration Date
2011-05-11
Last Update Date
2023-10-16
Business Address
RYAN LEIDERMAN
2000 NE 42ND AVE PMB 1155
PORTLAND, OR 97213
Phone number: 778-875-1436
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Mailing Address
RYAN LEIDERMAN
2000 NE 42ND AVE PMB 1155
PORTLAND, OR 97213
Phone number: 778-875-1436
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