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1972893550
SEAN MILLER
PORTLAND, OR
NPI
1972893550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-04-15
Last Update Date
2011-04-15
Business Address
-- SEAN MILLER
2415 SE 43RD AVE
PORTLAND, OR 97206-1600
Phone number: 503-232-0769
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Mailing Address
-- SEAN MILLER
847 NE 19TH AVE SUITE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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FULL MOON WELLNESS AND CONSULTING, LLC