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Individual

IAN STUART MURPHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1122 NE 122ND AVE STE A102, PORTLAND, OR 97230-2082
(503) 389-6536
Mailing address
4417 NE KILLINGSWORTH ST UNIT 113, PORTLAND, OR 97218-1471
(503) 730-1742

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
02/03/2020
Last updated
02/04/2020
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