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1275193260
ANNA KHVAL
PORTLAND, OR
NPI
1275193260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-06-20
Last Update Date
2019-06-20
Business Address
ANNA KHVAL CADC1
1500 SE 122ND AVE
PORTLAND, OR 97233-1207
Phone number: 503-473-7548
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Mailing Address
ANNA KHVAL CADC1
1718 SE ORIENT DR APT 2122
GRESHAM, OR 97080-5258
Phone number: 503-473-7548
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