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1992986319
NATHANAEL BAGLEY
PORTLAND, OR
NPI
1992986319
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C2381)
Enumeration Date
2007-11-14
Last Update Date
2009-10-21
Business Address
-- NATHANAEL BAGLEY LPC
712 SE HAWTHORNE BLVD STE 100
PORTLAND, OR 97214-3538
Phone number: 503-545-5329
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Mailing Address
-- NATHANAEL BAGLEY LPC
712 SE HAWTHORNE BLVD STE 100
PORTLAND, OR 97214-3538
Phone number: 503-545-5329
Copy
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