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1700111085
JEANINE BASSETT
PORTLAND, OR
NPI
1700111085
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-10-05
Last Update Date
2009-10-05
Business Address
-- JEANINE BASSETT
9111 NE SUNDERLAND AVE
PORTLAND, OR 97211-1708
Phone number: 503-280-6646
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Mailing Address
-- JEANINE BASSETT
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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