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1366322935
CHRYSALIS WELLNESS LLC
PORTLAND, OR
NPI
1366322935
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Entity Type
Organization
Authorized Contact
AJNA RAE
Owner
503-451-0079
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2025-09-04
Last Update Date
2025-09-04
Business Address
CHRYSALIS WELLNESS LLC
4659 NE AINSWORTH ST
PORTLAND, OR 97218-1849
Phone number: 503-451-0079
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Mailing Address
CHRYSALIS WELLNESS LLC
4659 NE AINSWORTH ST
PORTLAND, OR 97218-1849
Phone number: 503-451-0079
Copy
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