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Individual

MR. CHRIS KEEPER LOVELESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1675 SW MARLOW AVE STE 200, PORTLAND, OR 97225-5102
(510) 679-3545
Mailing address
760 SW 167TH AVE, BEAVERTON, OR 97006-4970
(503) 270-8275

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
09/14/2018
Last updated
09/14/2018
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