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1063035293
CANDY LYNN GORDON
PORTLAND, OR
NPI
1063035293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 20-P-02)
Enumeration Date
2020-05-21
Last Update Date
2023-11-27
Business Address
CANDY LYNN GORDON CRM, PRC, CADC I
3311 NE MLK JR BLVD STE 104
PORTLAND, OR 97212-2086
Phone number: 503-206-8856
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Mailing Address
CANDY LYNN GORDON CRM, PRC, CADC I
714 GARDEN CT
MOLALLA, OR 97038-7413
Phone number: 971-570-8100
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