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1376913939
AVA ROTROCK
PORTLAND, OR
NPI
1376913939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2015-09-25
Last Update Date
2015-09-25
Business Address
AVA ROTROCK
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-546-6377
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Mailing Address
AVA ROTROCK
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-546-6377
Copy
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