SYLVIA SUSANNE SORN

GLADSTONE, OR
NPI1528462801
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: OR  519100)
Enumeration Date2014-10-15
Last Update Date2014-10-15
Business Address
-- SYLVIA SUSANNE SORN
17420 CROWNVIEW DR
GLADSTONE, OR 97027-1107
Phone number: 503-656-1204
Mailing Address
-- SYLVIA SUSANNE SORN
17420 CROWNVIEW DR
GLADSTONE, OR 97027-1107
Phone number: 503-656-1204
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