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1497387096
SHAYNA PUKINI
OREGON CITY, OR
NPI
1497387096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-19-437)
Enumeration Date
2020-02-11
Last Update Date
2020-02-11
Business Address
SHAYNA PUKINI CADC registrant
900 MAIN ST STE 200
OREGON CITY, OR 97045-1869
Phone number: 503-290-8850
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Mailing Address
SHAYNA PUKINI CADC registrant
PO BOX 16576
PORTLAND, OR 97292-0576
Phone number: 503-290-8850
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