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1316477979
JESSICA LEAH GATES
PORTLAND, OR
NPI
1316477979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-06-15
Last Update Date
2017-06-15
Business Address
JESSICA LEAH GATES
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1151
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Mailing Address
JESSICA LEAH GATES
395 SE REGAN HILL LOOP
ESTACADA, OR 97023-7400
Phone number: 503-313-1386
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