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1194927319
LORETTA SEIBERT
PORTLAND, OR
NPI
1194927319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0855X Clinic/Center, Adolescent and Children Mental Health
(Licence: MI 091005179LPN)
Enumeration Date
2007-06-01
Last Update Date
2007-07-08
Business Address
-- LORETTA SEIBERT
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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Mailing Address
-- LORETTA SEIBERT
15994 KEASEY RD
VERNONIA, OR 97064-9437
Phone number: 503-234-9591
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