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Individual

MR. JOSEPH S GUSEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
QMHP

Contact information

Practice address
5023 NE KILLINGSWORTH ST, PORTLAND, OR 97218-1915
(503) 402-8117
(503) 284-6585
Mailing address
4931 NE ALBERTA ST, PORTLAND, OR 97218-2025
(503) 997-1991

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
02/02/2007
Last updated
05/23/2008
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