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1033922877
KANOUGHN LONGWELL
PORTLAND, OR
NPI
1033922877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2025-01-27
Last Update Date
2025-01-27
Business Address
KANOUGHN LONGWELL
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-757-5290
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Mailing Address
KANOUGHN LONGWELL
4059 JEFFERSON PKWY
LAKE OSWEGO, OR 97035-1478
Phone number: 971-330-9881
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