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1598344160
SHADOW SILVERS
PORTLAND, OR
NPI
1598344160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-04-02
Last Update Date
2021-04-02
Business Address
SHADOW SILVERS QMHP
4212 SE DIVISION ST
PORTLAND, OR 97206-1680
Phone number: 503-238-0705
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Mailing Address
SHADOW SILVERS QMHP
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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