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1508899550
RENEE ERICA BOAK
PORTLAND, OR
NPI
1508899550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
372600000X Adult Companion
Enumeration Date
2006-07-09
Last Update Date
2007-07-08
Business Address
Miss RENEE ERICA BOAK QMHA
2908 NE KILLINGSWORTH ST
PORTLAND, OR 97211-6812
Phone number: 503-287-8009
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Mailing Address
Miss RENEE ERICA BOAK QMHA
1706 SE REEDWAY ST
PORTLAND, OR 97202-5127
Phone number: 518-225-2564
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