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Individual

WILLIAM LIND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3390 SE MILWAUKIE AVE, PORTLAND, OR 97202-1775
(503) 736-6587
(503) 239-6005
Mailing address
834 SE 142ND AVE, PORTLAND, OR 97233-2228

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
04/21/2011
Last updated
04/21/2011
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