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Individual

MR. JAMES FOWLER BALDWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LPC

Contact information

Practice address
2188 SW PARK PL STE 303, PORTLAND, OR 97205-1100
(503) 241-1141
(503) 954-2224
Mailing address
2188 SW PARK PL STE 303, PORTLAND, OR 97205-1100
(503) 241-1141
(503) 954-2224

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C2206
OR

Other

Enumeration date
04/22/2011
Last updated
04/22/2011
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