Individual
MR. JUSTIN HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
818 NE DIVISION ST, GRESHAM, OR 97030-3951
(503) 489-9817
Mailing address
818 NE DIVISION ST, GRESHAM, OR 97030-3951
(503) 489-9817
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R2544
OR
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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