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1215636303
LISA ANN MUNGENAST
PORTLAND, OR
NPI
1215636303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR 107729)
Enumeration Date
2023-02-27
Last Update Date
2023-05-19
Business Address
Mrs. LISA ANN MUNGENAST CRM, PSS, THW
1030 NE COUCH ST
PORTLAND, OR 97232-3067
Phone number: 503-239-8400
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Mailing Address
Mrs. LISA ANN MUNGENAST CRM, PSS, THW
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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