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1023648839
ELINA ELLA KING
PORTLAND, OR
NPI
1023648839
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Other Name
ELVIRA OLEGOVNA NIKITINA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-01-21
Last Update Date
2021-11-16
Business Address
ELINA ELLA KING
12511 SE RAYMOND ST
PORTLAND, OR 97236-3931
Phone number: 503-761-2580
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Mailing Address
ELINA ELLA KING
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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