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1316514086
LULA P CHANEY
PORTLAND, OR
NPI
1316514086
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Former Name
LA SHAWN P CHANEY
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-06-09
Last Update Date
2021-10-20
Business Address
LULA P CHANEY QMHA
1438 SE DIVISION ST
PORTLAND, OR 97202-1140
Phone number: 503-548-0346
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Mailing Address
LULA P CHANEY QMHA
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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