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1063779650
LINDSAY ANN BOLERJACK
PORTLAND, OR
NPI
1063779650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-04-19
Last Update Date
2012-04-19
Business Address
-- LINDSAY ANN BOLERJACK
2415 SE 43RD AVE STE 100
PORTLAND, OR 97206-1666
Phone number: 503-238-0705
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Mailing Address
-- LINDSAY ANN BOLERJACK
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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