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1083923932
AMELIA RENEE BUNCH
PORTLAND, OR
NPI
1083923932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-09-27
Last Update Date
2010-09-27
Business Address
-- AMELIA RENEE BUNCH BA
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218-1404
Phone number: 503-535-1167
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Mailing Address
-- AMELIA RENEE BUNCH BA
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number:
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