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1336838499
LIDIA MAGALI JIMENEZ
PORTLAND, OR
NPI
1336838499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-05-04
Last Update Date
2023-05-04
Business Address
LIDIA MAGALI JIMENEZ
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-546-6377
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Mailing Address
LIDIA MAGALI JIMENEZ
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-546-6877
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