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Individual

NATHAN JAMES EARLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.W.

Contact information

Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 813-7778
Mailing address
3021 SE DIVISION ST, PORTLAND, OR 97202-1476
(503) 970-0066

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
OR

Other

Enumeration date
06/08/2007
Last updated
01/08/2009
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