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1376381921
MURISSA LA MAYAGUEZ
PORTLAND, OR
NPI
1376381921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 24-QMHA-I-004548)
Enumeration Date
2024-07-17
Last Update Date
2024-09-06
Business Address
MURISSA LA MAYAGUEZ
33 NW BROADWAY
PORTLAND, OR 97209-3580
Phone number: 503-228-7134
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Mailing Address
MURISSA LA MAYAGUEZ
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number:
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