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1023306461
AMIE MYKISEN
TIGARD, OR
NPI
1023306461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-07-19
Last Update Date
2011-07-19
Business Address
-- AMIE MYKISEN
8770 SW SCOFFINS ST
TIGARD, OR 97223-6226
Phone number: 503-684-1424
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Mailing Address
-- AMIE MYKISEN
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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