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1285057406
LORI BETTENCOURT
PORTLAND, OR
NPI
1285057406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: OR 20303)
Enumeration Date
2014-01-23
Last Update Date
2014-01-23
Business Address
LORI BETTENCOURT LMT
4224 NE HALSEY ST SUITE 325
PORTLAND, OR 97213-1538
Phone number: 503-505-6181
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Mailing Address
LORI BETTENCOURT LMT
PO BOX 15031
PORTLAND, OR 97293-5031
Phone number: 503-334-7552
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