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1972120087
JOSHUA ALLEN BRADSHAW
PORTLAND, OR
NPI
1972120087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-07-06
Last Update Date
2020-07-06
Business Address
JOSHUA ALLEN BRADSHAW
3036 NE MLK JR BLVD
PORTLAND, OR 97212-3053
Phone number: 503-889-2500
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Mailing Address
JOSHUA ALLEN BRADSHAW
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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