Individual
PATRICK HARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1818 SE DIVISION ST, PORTLAND, OR 97202-1159
(503) 317-6698
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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