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1952551673
JOHN ANTHONY TERRY
PORTLAND, OR
NPI
1952551673
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-09-30
Last Update Date
2008-09-30
Business Address
-- JOHN ANTHONY TERRY
3034 NE MLK BLVD
PORTLAND, OR 97212-3053
Phone number: 503-283-3763
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Mailing Address
-- JOHN ANTHONY TERRY
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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