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1164073003
IRINA BAUTISTA
PORTLAND, OR
NPI
1164073003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-09-23
Last Update Date
2019-09-23
Business Address
IRINA BAUTISTA
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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Mailing Address
IRINA BAUTISTA
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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