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1609148642
ELYSSA THELIN
PORTLAND, OR
NPI
1609148642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-02-07
Last Update Date
2012-02-07
Business Address
-- ELYSSA THELIN
4925 N ALBINA AVE
PORTLAND, OR 97217-2609
Phone number: 503-442-5319
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Mailing Address
-- ELYSSA THELIN
14600 NW CORNELL RD
PORTLAND, OR 97229
Phone number: 503-645-3581
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