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1548519101
JEANEEN MONTGOMERY
PORTLAND, OR
NPI
1548519101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 10-P-03)
Enumeration Date
2012-08-29
Last Update Date
2012-08-29
Business Address
-- JEANEEN MONTGOMERY CADC
726 W BURNSIDE ST
PORTLAND, OR 97209-3515
Phone number: 503-944-4410
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Mailing Address
-- JEANEEN MONTGOMERY CADC
726 W BURNSIDE ST
PORTLAND, OR 97209-3515
Phone number: 503-944-4410
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