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1083353494
SAGE LUNA NEBULA
PORTLAND, OR
NPI
1083353494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-06-02
Last Update Date
2023-01-10
Business Address
SAGE LUNA NEBULA CADC-R, CRM
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216-2821
Phone number: 503-535-1151
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Mailing Address
SAGE LUNA NEBULA CADC-R, CRM
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 503-239-5738
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