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1427412626
IVANA MACLAY
PORTLAND, OR
NPI
1427412626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR R4222)
Enumeration Date
2016-04-13
Last Update Date
2019-01-08
Business Address
IVANA MACLAY
847 NE 19TH AVE
PORTLAND, OR 97232
Phone number: 503-238-0769
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Mailing Address
IVANA MACLAY
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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