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1598167736
MARINA POLTORAK
PORTLAND, OR
NPI
1598167736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 11-06-96U)
Enumeration Date
2014-09-18
Last Update Date
2014-09-18
Business Address
-- MARINA POLTORAK
3910 SE STARK ST
PORTLAND, OR 97214-3241
Phone number: 503-914-9978
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Mailing Address
-- MARINA POLTORAK
3910 SE STARK ST
PORTLAND, OR 97214-3241
Phone number: 503-914-9978
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