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1487029104
ALYSA MICHELLE IVEY
HILLSBORO, OR
NPI
1487029104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-12-07
Last Update Date
2015-12-07
Business Address
-- ALYSA MICHELLE IVEY
971 SW WALNUT ST
HILLSBORO, OR 97123-5651
Phone number: 503-640-5297
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Mailing Address
-- ALYSA MICHELLE IVEY
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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