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1013376243
KATIE SMITH
PORTLAND, OR
NPI
1013376243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-02-16
Last Update Date
2018-06-07
Business Address
KATIE SMITH
14600 NW CORNELL RD
PORTLAND, OR 97229
Phone number: 503-645-3581
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Mailing Address
KATIE SMITH
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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