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1134999527
MAX L LAVALLEE
PORTLAND, OR
NPI
1134999527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OR BAP-E-10238928)
Enumeration Date
2024-01-05
Last Update Date
2024-01-05
Business Address
MAX L LAVALLEE LE
1954 SE 182ND AVE # 201
PORTLAND, OR 97233-5602
Phone number: 503-660-8468
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Mailing Address
MAX L LAVALLEE LE
416 SE 34TH CIR
TROUTDALE, OR 97060-4505
Phone number: 503-676-4799
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