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1265837603
MOIRA HOLAS
PORTLAND, OR
NPI
1265837603
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Former Name
MOIRA ANNE RICHARDSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-10-28
Last Update Date
2014-10-28
Business Address
-- MOIRA HOLAS
17214 SE DIVISION ST
PORTLAND, OR 97236-1282
Phone number: 503-761-5272
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Mailing Address
-- MOIRA HOLAS
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number:
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