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1588178792
CARRIE FORD
PORTLAND, OR
NPI
1588178792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-11-27
Last Update Date
2017-11-27
Business Address
CARRIE FORD
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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Mailing Address
CARRIE FORD
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
Copy
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