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1104178391
LISA WALDEN
BEAVERTON, OR
NPI
1104178391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2012-10-11
Last Update Date
2012-10-11
Business Address
-- LISA WALDEN MSW
3900 SW MURRAY BLVD
BEAVERTON, OR 97005-2454
Phone number: 503-644-2545
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Mailing Address
-- LISA WALDEN MSW
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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