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1326897661
MARISSA JANE BERTUCCI
PORTLAND, OR
NPI
1326897661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: OR R9003)
Enumeration Date
2024-05-17
Last Update Date
2024-05-19
Business Address
MARISSA JANE BERTUCCI PC-A
15300 NE GLISAN ST
PORTLAND, OR 97230-4839
Phone number: 925-726-8472
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Mailing Address
MARISSA JANE BERTUCCI PC-A
6530 SE 74TH AVE
PORTLAND, OR 97206-7234
Phone number: 925-726-8472
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