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1336440007
JEANINE RITA DIXON
PORTLAND, OR
NPI
1336440007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 94-10-87)
Enumeration Date
2010-11-10
Last Update Date
2010-11-10
Business Address
-- JEANINE RITA DIXON CACD III
1631 SW COLUMBIA ST
PORTLAND, OR 97201-6025
Phone number: 503-231-2641
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Mailing Address
-- JEANINE RITA DIXON CACD III
1631 SW COLUMBIA ST
PORTLAND, OR 97201-6025
Phone number: 503-231-2641
Copy
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