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1124259411
JANINE FERGUSON
BEAVERTON, OR
NPI
1124259411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR 11-06-24)
Enumeration Date
2009-08-04
Last Update Date
2011-12-16
Business Address
JANINE FERGUSON
9700 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR 97005-3306
Phone number: 503-626-9494
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Mailing Address
JANINE FERGUSON
PO BOX 82819
PORTLAND, OR 97282-0819
Phone number: 503-233-5405
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