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1134302227
DER VANG
PORTLAND, OR
NPI
1134302227
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-12-11
Last Update Date
2007-12-11
Business Address
-- DER VANG
1500 NE IRVING ST SUITE 250
PORTLAND, OR 97232-2243
Phone number: 503-233-4356
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Mailing Address
-- DER VANG
11627 NE CLACKAMAS ST
PORTLAND, OR 97220-2260
Phone number: 503-761-0982
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