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1952619249
STEPHEN RUSSELL RICHARDSON
PORTLAND, OR
NPI
1952619249
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Other Name
STEVE RUSSELL RICHARDSON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-09-20
Last Update Date
2010-09-20
Business Address
Mr. STEPHEN RUSSELL RICHARDSON aaee
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1150
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Mailing Address
Mr. STEPHEN RUSSELL RICHARDSON aaee
2046 NW FLANDERS ST 21
PORTLAND, OR 97209-1159
Phone number: 503-804-2520
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