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1053882829
KAY M COCKERILL
PORTLAND, OR
NPI
1053882829
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 19-QMHPC-00829)
Enumeration Date
2018-12-05
Last Update Date
2023-01-05
Business Address
KAY M COCKERILL QMHP-C
1310 SW 17TH AVE
PORTLAND, OR 97201-2522
Phone number: 503-231-2641
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Mailing Address
KAY M COCKERILL QMHP-C
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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