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1972098648
SAMUEL ST. JOHN
PORTLAND, OR
NPI
1972098648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-06-26
Last Update Date
2019-09-10
Business Address
SAMUEL ST. JOHN
847 NE 19TH AVE STE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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Mailing Address
SAMUEL ST. JOHN
847 NE 19TH AVE STE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
Copy
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