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1073946448
LAURA JORDAN
PORTLAND, OR
NPI
1073946448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-08-20
Last Update Date
2017-03-22
Business Address
-- LAURA JORDAN
17720 NE HALSEY ST
PORTLAND, OR 97230-6734
Phone number: 503-654-7654
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Mailing Address
-- LAURA JORDAN
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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