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1225635287
LISA LYNN VESELY
PORTLAND, OR
NPI
1225635287
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T20163)
Enumeration Date
2020-10-02
Last Update Date
2020-10-02
Business Address
LISA LYNN VESELY
1122 NE 122ND AVE STE A200
PORTLAND, OR 97230-2083
Phone number: 503-594-4750
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Mailing Address
LISA LYNN VESELY
1335 NW 23RD AVE APT 105
PORTLAND, OR 97210-2687
Phone number: 503-960-1025
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