NIKKI LAINE GRAY

PORTLAND, OR
NPI1144860966
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-01-09
Last Update Date2020-01-09
Business Address
Ms. NIKKI LAINE GRAY
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218-1404
Phone number: 503-535-1181
Mailing Address
Ms. NIKKI LAINE GRAY
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number:
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