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1609416155
CARA A KOCH
PORTLAND, OR
NPI
1609416155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 19-QMHP-R-0044)
Enumeration Date
2020-01-13
Last Update Date
2020-01-13
Business Address
CARA A KOCH QMHP-R
12360 E BURNSIDE ST
PORTLAND, OR 97233-1042
Phone number: 971-279-4800
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Mailing Address
CARA A KOCH QMHP-R
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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