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1265070825
CARMEN LEE PACK
CORVALLIS, OR
NPI
1265070825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-12-13
Last Update Date
2019-12-13
Business Address
CARMEN LEE PACK
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5900
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Mailing Address
CARMEN LEE PACK
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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