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1619614120
LISA DIANE HENRY
PORTLAND, OR
NPI
1619614120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-05-16
Last Update Date
2022-05-16
Business Address
LISA DIANE HENRY
17720 NE HALSEY ST STE A
PORTLAND, OR 97230-6771
Phone number: 503-654-7654
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Mailing Address
LISA DIANE HENRY
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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