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1538433008
DOROTHEA BRAXTON
PORTLAND, OR
NPI
1538433008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: OR 201040116RN)
Enumeration Date
2012-03-01
Last Update Date
2012-03-01
Business Address
-- DOROTHEA BRAXTON
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-813-7727
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Mailing Address
-- DOROTHEA BRAXTON
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-813-7727
Copy
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