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1073175477
KATIE MIRANDA
PORTLAND, OR
NPI
1073175477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: professionallicense)
Enumeration Date
2019-07-05
Last Update Date
2022-02-08
Business Address
KATIE MIRANDA
17720 NE HALSEY ST STE A
PORTLAND, OR 97230-6771
Phone number: 503-654-7654
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Mailing Address
KATIE MIRANDA
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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