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1508233354
JACLYN KAHNKE
PORTLAND, OR
NPI
1508233354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-08-27
Last Update Date
2015-08-27
Business Address
-- JACLYN KAHNKE MA, CADC I
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-546-6377
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Mailing Address
-- JACLYN KAHNKE MA, CADC I
1411 NE 16TH AVE 215
PORTLAND, OR 97232-4407
Phone number:
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