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1417465451
KATELYN CUSHMAN
PORTLAND, OR
NPI
1417465451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-01-11
Last Update Date
2018-01-11
Business Address
KATELYN CUSHMAN
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-546-6377
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Mailing Address
KATELYN CUSHMAN
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-546-6377
Copy
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