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1023559572
MICHELLE BERRY
PORTLAND, OR
NPI
1023559572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
305S00000X Point of Service
Enumeration Date
2017-03-16
Last Update Date
2017-03-16
Business Address
-- MICHELLE BERRY
532 N BRYANT ST
PORTLAND, OR 97217-1771
Phone number: 971-344-7968
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Mailing Address
-- MICHELLE BERRY
532 N BRYANT ST
PORTLAND, OR 97217-1771
Phone number: 971-344-7968
Copy
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