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1174049357
CHRYSTIE WADE
PORTLAND, OR
NPI
1174049357
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Former Name
CHRYSTIE DEGLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-08-18
Last Update Date
2017-08-18
Business Address
CHRYSTIE WADE
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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Mailing Address
CHRYSTIE WADE
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
Copy
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