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Individual

MR. ROBERT PETER MEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
Mailing address
1715 NW 29TH ST, CORVALLIS, OR 97330-1863
(541) 760-5724

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
03/12/2011
Last updated
03/12/2011
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