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1326678871
CHANDRA K WILSON
PORTLAND, OR
NPI
1326678871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2020-01-23
Last Update Date
2020-02-12
Business Address
CHANDRA K WILSON QMHA
1438 SE DIVISION ST
PORTLAND, OR 97202-1140
Phone number: 503-548-0346
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Mailing Address
CHANDRA K WILSON QMHA
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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