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1629100797
SUSAN JEAN BLACKER
PORTLAND, OR
NPI
1629100797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-03-12
Last Update Date
2007-07-08
Business Address
Ms. SUSAN JEAN BLACKER QMHA
3034 NE M L KING BLVD
PORTLAND, OR 97212-3053
Phone number: 503-283-3763
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Mailing Address
Ms. SUSAN JEAN BLACKER QMHA
2523 N WATTS ST
PORTLAND, OR 97217-6367
Phone number: 503-286-4210
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