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1427066604
GINA DORA PATRIARCA
PORTLAND, OR
NPI
1427066604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-08-04
Last Update Date
2019-06-11
Business Address
Mrs. GINA DORA PATRIARCA QMHP
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Phone number: 503-238-1769
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Mailing Address
Mrs. GINA DORA PATRIARCA QMHP
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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