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1003268640
MICAELA BUSACK
PORTLAND, OR
NPI
1003268640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-07-07
Last Update Date
2016-07-07
Business Address
-- MICAELA BUSACK
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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Mailing Address
-- MICAELA BUSACK
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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