CAROL JEAN GRAVEN

PORTLAND, OR
NPI1598175317
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  12-03-23)
Enumeration Date2014-05-01
Last Update Date2014-05-01
Business Address
-- CAROL JEAN GRAVEN CADC1
3945 SE HAWTHORNE BLVD
PORTLAND, OR 97214-5241
Phone number: 503-839-9462
Mailing Address
-- CAROL JEAN GRAVEN CADC1
3945 SE HAWTHORNE BLVD
PORTLAND, OR 97214-5241
Phone number: 503-839-9462
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