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Individual

MR. EDWARD (TED) DORRANCE OWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MT-BC

Contact information

Practice address
9601 NW LEAHY RD, APT 203, PORTLAND, OR 97229-6382
(503) 957-7570
Mailing address
9601 NW LEAHY RD, APT 203, PORTLAND, OR 97229-6382
(503) 957-7570

Taxonomy

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

Other

Enumeration date
04/24/2008
Last updated
05/25/2012
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