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1124409420
SALLY K GRADIN
TIGARD, OR
NPI
1124409420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L10213)
Enumeration Date
2015-06-11
Last Update Date
2023-10-11
Business Address
SALLY K GRADIN
7340 SW HUNZIKER ST SUITE 102
TIGARD, OR 97223
Phone number: 971-425-0821
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Mailing Address
SALLY K GRADIN
13500 SW PACIFIC HWY STE 58-481
TIGARD, OR 97223-4804
Phone number: 971-425-0821
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