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1295933901
JOLEEN K ROSS
PORTLAND, OR
NPI
1295933901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-07-03
Last Update Date
2007-07-08
Business Address
-- JOLEEN K ROSS
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218-1404
Phone number: 503-535-1150
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Mailing Address
-- JOLEEN K ROSS
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number:
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