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1699206979
JENNA M KING
PORTLAND, OR
NPI
1699206979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-03-27
Last Update Date
2017-10-23
Business Address
JENNA M KING
6601 NE 78TH CT SUITE A3
PORTLAND, OR 97218-2823
Phone number: 503-252-3949
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Mailing Address
JENNA M KING
6601 NE 78TH CT SUITE A3
PORTLAND, OR 97218-2823
Phone number: 503-252-3949
Copy
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