CLARK CASWELL

TIGARD, OR
NPI1932532611
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  00-07-05)
Enumeration Date2013-08-16
Last Update Date2013-08-16
Business Address
-- CLARK CASWELL CADC II
6950 SW HAMPTON ST STE 109
TIGARD, OR 97223-8329
Phone number: 971-255-1513
Mailing Address
-- CLARK CASWELL CADC II
6950 SW HAMPTON ST STE 109
TIGARD, OR 97223-8329
Phone number: 971-255-1513
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