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1679162218
ALEXIS BLACK
PORTLAND, OR
NPI
1679162218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-01-17
Last Update Date
2021-02-03
Business Address
ALEXIS BLACK
847 NE 19TH AVE
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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Mailing Address
ALEXIS BLACK
2152 NE WASCO ST
PORTLAND, OR 97232-1619
Phone number: 503-707-9019
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