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1013384122
AVERY BILL-POVIDAILO
PORTLAND, OR
NPI
1013384122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR A4030)
Enumeration Date
2015-08-24
Last Update Date
2015-08-24
Business Address
-- AVERY BILL-POVIDAILO CSWA
1132 SW 13TH AVE
PORTLAND, OR 97205-1703
Phone number: 503-535-3907
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Mailing Address
-- AVERY BILL-POVIDAILO CSWA
16721 SE WOODWARD ST
PORTLAND, OR 97236-1435
Phone number: 503-719-1569
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