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1205399656
CHERYL RUNYAN
PORTLAND, OR
NPI
1205399656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2019-04-12
Last Update Date
2019-04-12
Business Address
CHERYL RUNYAN
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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Mailing Address
CHERYL RUNYAN
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
Copy
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