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1972657591
CHARLES JOHN SUDBECK
PORTLAND, OR
NPI
1972657591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
CHARLES JOHN SUDBECK MS
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-205-4343
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Mailing Address
CHARLES JOHN SUDBECK MS
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-205-4343
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