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1285943985
DIANE E PONDER
PORTLAND, OR
NPI
1285943985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 1294)
Enumeration Date
2010-09-28
Last Update Date
2011-05-09
Business Address
-- DIANE E PONDER LCSW
9830 NE CASCADES PKWY SUITE 200
PORTLAND, OR 97220-6832
Phone number: 503-239-8101
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Mailing Address
-- DIANE E PONDER LCSW
9830 NE CASCADES PKWY SUITE 200
PORTLAND, OR 97220-6832
Phone number: 503-239-8101
Copy
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