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1164544284
ANNETTE URBAN SHORE
PORTLAND, OR
NPI
1164544284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C1596)
Enumeration Date
2007-04-06
Last Update Date
2015-12-07
Business Address
-- ANNETTE URBAN SHORE MA
3434 SW KELLY AVE SUITE 8
PORTLAND, OR 97239-4630
Phone number: 503-222-1807
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Mailing Address
-- ANNETTE URBAN SHORE MA
3434 SW KELLY AVE SUITE 8
PORTLAND, OR 97239-4630
Phone number: 503-222-1807
Copy
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