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1013145051
VIRGINIA NOGGLE
PORTLAND, OR
NPI
1013145051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-06-29
Last Update Date
2009-08-19
Business Address
-- VIRGINIA NOGGLE
10373 NE HANCOCK ST
PORTLAND, OR 97220-3873
Phone number: 503-253-6754
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Mailing Address
-- VIRGINIA NOGGLE
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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