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1326917188
MARY VANDERJACK
PORTLAND, OR
NPI
1326917188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2025-10-31
Last Update Date
2025-10-31
Business Address
MARY VANDERJACK
1785 NE SANDY BLVD STE 270
PORTLAND, OR 97232-2791
Phone number: 907-723-3521
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Mailing Address
MARY VANDERJACK
4621 NE KILLINGSWORTH ST UNIT 35
PORTLAND, OR 97218-1951
Phone number: 907-723-3521
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