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1033455886
NICHOLE AMANA
CORVALLIS, OR
NPI
1033455886
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Former Name
NICHOLE LUTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-12-26
Last Update Date
2023-12-13
Business Address
NICHOLE AMANA QMHA -I
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 547-758-5900
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Mailing Address
NICHOLE AMANA QMHA -I
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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