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1972018919
MARTIN GATES LUNDELL
PORTLAND, OR
NPI
1972018919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-12-13
Last Update Date
2017-12-13
Business Address
MARTIN GATES LUNDELL
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 503-465-5586
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Mailing Address
MARTIN GATES LUNDELL
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number:
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