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1346884012
KATELYN COOPER
PORTLAND, OR
NPI
1346884012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2019-11-05
Last Update Date
2019-11-05
Business Address
KATELYN COOPER QMHA-R
13317 SE POWELL BLVD
PORTLAND, OR 97236-3335
Phone number: 503-238-0769
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Mailing Address
KATELYN COOPER QMHA-R
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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