CHARISSE NICHELLE BORDEAUX

PORTLAND, OR
NPI1043760234
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-10-11
Last Update Date2018-08-10
Business Address
CHARISSE NICHELLE BORDEAUX
14600 NW CORNELL RD
PORTLAND, OR 97229
Phone number: 503-645-3581
Mailing Address
CHARISSE NICHELLE BORDEAUX
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581