KATHRYN DORTHEA FUQUA

PORTLAND, OR
NPI1265997779
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-02-08
Last Update Date2019-02-08
Business Address
KATHRYN DORTHEA FUQUA
1427 SE 182ND AVE
PORTLAND, OR 97233-5008
Phone number: 503-761-6006
Mailing Address
KATHRYN DORTHEA FUQUA
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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