BOUNSANG KHAMKEO

PORTLAND, OR
NPI1942516976
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  03-P-06)
Enumeration Date2010-08-27
Last Update Date2010-08-27
Business Address
-- BOUNSANG KHAMKEO
621 SW ALDER ST 520 SUITE
PORTLAND, OR 97205-3626
Phone number: 503-494-4745
Mailing Address
-- BOUNSANG KHAMKEO
2406 E 27TH ST
VANCOUVER, WA 98661-3917
Phone number: 360-944-7380
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