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1295270197
PATRICIA MCCUSKER
PORTLAND, OR
NPI
1295270197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: IL 2395422)
Enumeration Date
2016-12-30
Last Update Date
2016-12-30
Business Address
-- PATRICIA MCCUSKER
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1151
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Mailing Address
-- PATRICIA MCCUSKER
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1151
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