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1043331143
GRACE JADE HAMILTON
PORTLAND, OR
NPI
1043331143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C5215)
Enumeration Date
2007-04-03
Last Update Date
2021-08-03
Business Address
GRACE JADE HAMILTON LPC
15220 NW LAIDLAW RD STE 240
PORTLAND, OR 97229-7718
Phone number: 503-422-7215
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Mailing Address
GRACE JADE HAMILTON LPC
PO BOX 17558
PORTLAND, OR 97217-0558
Phone number: 503-422-7215
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