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1275089138
DEBRA FRESH
PORTLAND, OR
NPI
1275089138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 11-09-16)
Enumeration Date
2016-08-31
Last Update Date
2016-08-31
Business Address
-- DEBRA FRESH
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-238-2067
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Mailing Address
-- DEBRA FRESH
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number:
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