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1144605296
JAI MEDINA
PORTLAND, OR
NPI
1144605296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-07-29
Last Update Date
2015-07-29
Business Address
-- JAI MEDINA
11640 SW BOONES FERRY RD
PORTLAND, OR 97219-7736
Phone number: 503-683-3085
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Mailing Address
-- JAI MEDINA
11640 SW BOONES FERRY RD
PORTLAND, OR 97219-7736
Phone number:
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