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1497584452
PAKTINUN NAVASINPONGSUK
PORTLAND, OR
NPI
1497584452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2024-07-29
Last Update Date
2024-07-29
Business Address
PAKTINUN NAVASINPONGSUK
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206-1680
Phone number: 503-238-0705
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Mailing Address
PAKTINUN NAVASINPONGSUK
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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