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1669885786
STACY PICKEREL
PORTLAND, OR
NPI
1669885786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-06-05
Last Update Date
2014-06-05
Business Address
-- STACY PICKEREL
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-780-9284
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Mailing Address
-- STACY PICKEREL
PO BOX 941
SANDY, OR 97055-0941
Phone number: 503-780-9284
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