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1407164288
LORIE JEAN EVERIST
PORTLAND, OR
NPI
1407164288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-09-15
Last Update Date
2010-09-15
Business Address
Mrs. LORIE JEAN EVERIST
847 NE 19TH AVE
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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Mailing Address
Mrs. LORIE JEAN EVERIST
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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