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1306495833
ELISE MADLINE HIMES
PORTLAND, OR
NPI
1306495833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-09-07
Last Update Date
2019-09-07
Business Address
ELISE MADLINE HIMES
2926 NE FLANDERS ST STE 3C
PORTLAND, OR 97232-3259
Phone number: 971-270-0167
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Mailing Address
ELISE MADLINE HIMES
160 SE EDGEWAY DR # C134
BEAVERTON, OR 97006-3793
Phone number: 503-473-3909
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