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1063743847
JACQUELINE MENDRO
PORTLAND, OR
NPI
1063743847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-01-19
Last Update Date
2010-01-19
Business Address
-- JACQUELINE MENDRO
1312 SW WASHINGTON
PORTLAND, OR 97208
Phone number: 503-984-3331
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Mailing Address
-- JACQUELINE MENDRO
3739 NE SENATE ST.
PORTLAND, OR 97232-1930
Phone number:
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