LARISSA MARIE MICHAELIS

PORTLAND, OR
NPI1386846608
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: WA  MICHALM181Q8)
Enumeration Date2007-05-31
Last Update Date2007-07-08
Business Address
Miss LARISSA MARIE MICHAELIS
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
Mailing Address
Miss LARISSA MARIE MICHAELIS
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number:
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