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1043760234
CHARISSE NICHELLE BORDEAUX
PORTLAND, OR
NPI
1043760234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-10-11
Last Update Date
2018-08-10
Business Address
CHARISSE NICHELLE BORDEAUX
14600 NW CORNELL RD
PORTLAND, OR 97229
Phone number: 503-645-3581
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Mailing Address
CHARISSE NICHELLE BORDEAUX
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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