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1952871774
MATTHEW JAMES WIGHT
OREGON CITY, OR
NPI
1952871774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-18-177)
Enumeration Date
2018-12-05
Last Update Date
2018-12-05
Business Address
MATTHEW JAMES WIGHT
511 MAIN ST STE 201
OREGON CITY, OR 97045-1830
Phone number: 503-655-1029
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Mailing Address
MATTHEW JAMES WIGHT
511 MAIN ST STE 201
OREGON CITY, OR 97045-1830
Phone number: 503-655-1029
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