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Individual

LUCIAN MILLER SCHLOSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
4511 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97202-3119
(503) 830-4224
Mailing address
4204 SE 63RD AVE, PORTLAND, OR 97206-3767
(503) 830-4224

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
07/05/2010
Last updated
07/05/2010
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