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PORTLAND, OR
NPI1306203831
Entity TypeOrganization
Authorized ContactASHLEY DAWN WOODCOCK
Executive Director
503-709-8592
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2016-01-28
Last Update Date2024-11-04
Business Address
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4423 NE TILLAMOOK ST
PORTLAND, OR 97213
Phone number: 503-850-7979
Mailing Address
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4423 NE TILLAMOOK ST
PORTLAND, OR 97213
Phone number: 503-850-7979