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1265777874
LAUREL ORTIZ
PORTLAND, OR
NPI
1265777874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-12-07
Last Update Date
2012-12-07
Business Address
Ms. LAUREL ORTIZ
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218-1404
Phone number: 503-535-1181
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Mailing Address
Ms. LAUREL ORTIZ
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218-1404
Phone number: 503-535-1181
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