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1407210867
CREATE CHANGE, LLC
PORTLAND, OR
NPI
1407210867
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Entity Type
Organization
Authorized Contact
SHEILA WALTY
Director
503-842-7855
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 2340)
Enumeration Date
2016-04-11
Last Update Date
2016-04-11
Business Address
CREATE CHANGE, LLC
312 NW 10TH AVE SUITE 200
PORTLAND, OR 97209-3121
Phone number: 503-842-7855
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Mailing Address
CREATE CHANGE, LLC
312 NW 10TH AVE SUITE 200
PORTLAND, OR 97209-3121
Phone number: 503-842-7855
Copy
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