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Individual

MR. ROBERT KENNEDY MCINTYRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW0000008787
TN

Other

Enumeration date
03/07/2012
Last updated
03/07/2012
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