AMANDA IRIS PROSISE

PORTLAND, OR
NPI1033641782
Former NameAMANDA IRIS TIFENTAL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2017-03-31
Last Update Date2017-03-31
Business Address
Mrs. AMANDA IRIS PROSISE
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
Mailing Address
Mrs. AMANDA IRIS PROSISE
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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