MARY RICHARDS EARL

PORTLAND, OR
NPI1386955102
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  030313)
Enumeration Date2010-06-25
Last Update Date2010-06-25
Business Address
-- MARY RICHARDS EARL CADC1, QMHA
709 NW EVERETT ST
PORTLAND, OR 97209-3517
Phone number: 503-226-4060
Mailing Address
-- MARY RICHARDS EARL CADC1, QMHA
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-294-1681