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1497599492
LINDSAY SUSANNA SAGE
PORTLAND, OR
NPI
1497599492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 24-QMHA-R-5526)
Enumeration Date
2024-06-24
Last Update Date
2024-09-10
Business Address
LINDSAY SUSANNA SAGE QMHA-R
12360 E BURNSIDE ST
PORTLAND, OR 97233-1042
Phone number: 971-279-4800
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Mailing Address
LINDSAY SUSANNA SAGE QMHA-R
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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