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1558080713
ANISSA RENEE BAHRENBURG
PORTLAND, OR
NPI
1558080713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 4419)
Enumeration Date
2022-08-23
Last Update Date
2022-08-23
Business Address
ANISSA RENEE BAHRENBURG LCSW
2133 NE BROADWAY ST STE 303
PORTLAND, OR 97232-1878
Phone number: 503-807-2912
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Mailing Address
ANISSA RENEE BAHRENBURG LCSW
8040 SE 35TH AVE
PORTLAND, OR 97202-8414
Phone number: 503-807-2912
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