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1992352538
TERENCE KENNEDY
PORTLAND, OR
NPI
1992352538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-08-19
Last Update Date
2019-08-19
Business Address
TERENCE KENNEDY
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-546-6377
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Mailing Address
TERENCE KENNEDY
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-546-6377
Copy
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