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1225735905
SIDEWALK BLOOMING, LLC
PORTLAND, OR
NPI
1225735905
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Entity Type
Organization
Authorized Contact
KATELIN WESTFALL
Owner
503-427-8135
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-02-13
Last Update Date
2024-12-13
Business Address
SIDEWALK BLOOMING, LLC
5441 S MACADAM AVE STE N
PORTLAND, OR 97239-6106
Phone number: 503-427-8135
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Mailing Address
SIDEWALK BLOOMING, LLC
4207 SE WOODSTOCK BLVD # 241
PORTLAND, OR 97206-6267
Phone number:
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