MAILE MICHELLE BOEKE SAND

PORTLAND, OR
NPI1396932885
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-09-27
Last Update Date2007-09-27
Business Address
Mrs. MAILE MICHELLE BOEKE SAND BA, QMHA
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1190
Mailing Address
Mrs. MAILE MICHELLE BOEKE SAND BA, QMHA
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1190
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