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1053302554
ANDULIA WHITE ELK
PORTLAND, OR
NPI
1053302554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 050757)
Enumeration Date
2005-11-02
Last Update Date
2007-07-08
Business Address
-- ANDULIA WHITE ELK CADCI
1631 SW COLUMBIA ST
PORTLAND, OR 97201-6025
Phone number: 503-231-2641
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Mailing Address
-- ANDULIA WHITE ELK CADCI
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-231-2641
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