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1366082828
TAKAYLA LEE
PORTLAND, OR
NPI
1366082828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-01-13
Last Update Date
2020-01-13
Business Address
TAKAYLA LEE
1427 SE 182ND AVE
PORTLAND, OR 97233-5008
Phone number: 503-761-6005
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Mailing Address
TAKAYLA LEE
1427 SE 182ND AVE
PORTLAND, OR 97233-5008
Phone number: 503-761-6005
Copy
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