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1154578334
GAIA ILENE ARTEMISIA
PORTLAND, OR
NPI
1154578334
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: OR L4260)
Enumeration Date
2008-08-19
Last Update Date
2017-04-12
Business Address
MS. GAIA ILENE ARTEMISIA LCSW
15 N MORRIS ST
PORTLAND, OR 97227-1541
Phone number: 503-230-9875
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Mailing Address
MS. GAIA ILENE ARTEMISIA LCSW
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 971-386-2278
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