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1457470197
JESSICA DAWN EAGAN
PORTLAND, OR
NPI
1457470197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 4188)
Enumeration Date
2007-03-27
Last Update Date
2010-07-22
Business Address
-- JESSICA DAWN EAGAN MSW, MS
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-490-3900
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Mailing Address
-- JESSICA DAWN EAGAN MSW, MS
6637 SE 78TH AVE
PORTLAND, OR 97206-7114
Phone number: 503-206-5256
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