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1669256715
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PORTLAND, OR
NPI
1669256715
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-08-21
Last Update Date
2023-08-21
Business Address
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2333 SE 12TH AVE
PORTLAND, OR 97214-5323
Phone number: 503-374-4870
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Mailing Address
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2333 SE 12TH AVE
PORTLAND, OR 97214-5323
Phone number:
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