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1265866297
THANISSARA POOMLAOCHAENG
PORTLAND, OR
NPI
1265866297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-08-27
Last Update Date
2013-08-27
Business Address
-- THANISSARA POOMLAOCHAENG
3034 NE MLK BLVD
PORTLAND, OR 97212-3053
Phone number: 503-889-2500
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Mailing Address
-- THANISSARA POOMLAOCHAENG
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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