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1073895090
ELSA ELAINE PETERSON
PORTLAND, OR
NPI
1073895090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-09-15
Last Update Date
2011-09-15
Business Address
Ms. ELSA ELAINE PETERSON BA, QHMA
2175 NW IRVING ST #3
PORTLAND, OR 97210-3387
Phone number: 503-866-6811
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Mailing Address
Ms. ELSA ELAINE PETERSON BA, QHMA
2175 NW IRVING ST #3
PORTLAND, OR 97210-3387
Phone number: 503-866-6811
Copy
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