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1386955102
MARY RICHARDS EARL
PORTLAND, OR
NPI
1386955102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 030313)
Enumeration Date
2010-06-25
Last Update Date
2025-09-14
Business Address
-- MARY RICHARDS EARL CADC1, QMHA
709 NW EVERETT ST
PORTLAND, OR 97209-3517
Phone number: 503-226-4060
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Mailing Address
-- MARY RICHARDS EARL CADC1, QMHA
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-294-1681
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