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1144542879
SPRING LIBERTY
PORTLAND, OR
NPI
1144542879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-02-22
Last Update Date
2010-02-22
Business Address
-- SPRING LIBERTY
3034 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212-3053
Phone number: 503-283-3763
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Mailing Address
-- SPRING LIBERTY
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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