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1508221227
ALICE BERRY
BEAVERTON, OR
NPI
1508221227
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246Z00000X Specialist/Technologist, Other
(Licence: OR BAP-E-10167109)
Enumeration Date
2015-12-22
Last Update Date
2015-12-22
Business Address
ALICE BERRY L.E.
1500 NW BETHANY BLVD SUITE 200
BEAVERTON, OR 97006-5208
Phone number: 503-597-1323
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Mailing Address
ALICE BERRY L.E.
1500 NW BETHANY BLVD SUITE 200
BEAVERTON, OR 97006-5208
Phone number: 503-597-1323
Copy
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