MARINA POLTORAK

PORTLAND, OR
NPI1598167736
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  11-06-96U)
Enumeration Date2014-09-18
Last Update Date2014-09-18
Business Address
-- MARINA POLTORAK
3910 SE STARK ST
PORTLAND, OR 97214-3241
Phone number: 503-914-9978
Mailing Address
-- MARINA POLTORAK
3910 SE STARK ST
PORTLAND, OR 97214-3241
Phone number: 503-914-9978
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