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1003244740
MARY LISA GATES
PORTLAND, OR
NPI
1003244740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L3461)
Enumeration Date
2013-10-16
Last Update Date
2013-10-16
Business Address
Ms. MARY LISA GATES LCSW
2800 N VANCOUVER AVE SUITE 230
PORTLAND, OR 97227-1630
Phone number: 503-413-5161
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Mailing Address
Ms. MARY LISA GATES LCSW
2800 N VANCOUVER AVE SUITE 230
PORTLAND, OR 97227-1630
Phone number: 503-413-5161
Copy
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