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1669724654
LACEY SHIRAHAMA
PORTLAND, OR
NPI
1669724654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: OR 7176209)
Enumeration Date
2012-10-15
Last Update Date
2012-10-15
Business Address
-- LACEY SHIRAHAMA
3415 SE POWELL BLVD, PORTLAND, OR 97202
PORTLAND, OR 97202
Phone number: 503-234-9591
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Mailing Address
-- LACEY SHIRAHAMA
12880 SE OTT STREEET
CLACKAMS, OR 97015
Phone number: 503-720-8352
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