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1518740232
ALEXANDRA RYAN MATTINGLY
PORTLAND, OR
NPI
1518740232
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Other Name
ALEX RYAN MATTINGLY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 23-QMHA-R-4281)
Enumeration Date
2023-08-16
Last Update Date
2023-09-08
Business Address
ALEXANDRA RYAN MATTINGLY QMHA-R
12360 E BURNSIDE ST
PORTLAND, OR 97233-1042
Phone number: 971-279-4800
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Mailing Address
ALEXANDRA RYAN MATTINGLY QMHA-R
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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