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1053180497
EILEEN ALICE DERR
PORTLAND, OR
NPI
1053180497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-12-27
Last Update Date
2023-12-27
Business Address
EILEEN ALICE DERR
3530 SE 88TH AVE
PORTLAND, OR 97266-2396
Phone number: 509-225-3396
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Mailing Address
EILEEN ALICE DERR
3530 SE 88TH AVE
PORTLAND, OR 97266-2396
Phone number: 509-225-3396
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