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1063896322
STEPHANIE BUSHBAUM
WILSONVILLE, OR
NPI
1063896322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-07-16
Last Update Date
2016-04-20
Business Address
-- STEPHANIE BUSHBAUM
29120 SW SAN REMO CT
WILSONVILLE, OR 97070-7373
Phone number: 503-682-1840
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Mailing Address
-- STEPHANIE BUSHBAUM
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 503-857-5681
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