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1316256589
KAI L NICHOLS
PORTLAND, OR
NPI
1316256589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 11-12-89)
Enumeration Date
2010-10-05
Last Update Date
2016-08-15
Business Address
-- KAI L NICHOLS CADC II
1631 SW COLUMBIA ST
PORTLAND, OR 97201-6025
Phone number: 503-231-2641
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Mailing Address
-- KAI L NICHOLS CADC II
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 971-386-2278
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