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1417620154
TARA MISRA
PORTLAND, OR
NPI
1417620154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR A12635)
Enumeration Date
2021-07-28
Last Update Date
2021-07-28
Business Address
TARA MISRA MS, MSW
1235 SE DIVISION ST
PORTLAND, OR 97202-1099
Phone number: 360-726-4141
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Mailing Address
TARA MISRA MS, MSW
4620 SE 40TH AVE APT 1
PORTLAND, OR 97202-4091
Phone number: 505-620-1692
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