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1346869161
LISA GROSSENBACHER
PORTLAND, OR
NPI
1346869161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-04-12
Last Update Date
2020-04-12
Business Address
LISA GROSSENBACHER
8041 E BURNSIDE ST
PORTLAND, OR 97215-1548
Phone number: 503-239-8400
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Mailing Address
LISA GROSSENBACHER
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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