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1194906511
MISTY LEE EGAN
PORTLAND, OR
NPI
1194906511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-11-14
Last Update Date
2007-11-14
Business Address
MISTY LEE EGAN B.A
1500 NE IRVING ST
PORTLAND, OR 97232-2243
Phone number: 503-233-4356
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Mailing Address
MISTY LEE EGAN B.A
1500 NE IRVING ST SUITE 250
PORTLAND, OR 97232-2243
Phone number: 503-233-4356
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