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1700857497
PAULA LYNN FOTHERGILL
PORTLAND, OR
NPI
1700857497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: OR 04-03-43U)
Enumeration Date
2006-01-30
Last Update Date
2016-01-06
Business Address
-- PAULA LYNN FOTHERGILL M.S., CADCII
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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Mailing Address
-- PAULA LYNN FOTHERGILL M.S., CADCII
1631 SW COLUMBIA ST TATE TOPO / ANNEX
PORTLAND, OR 97201-6025
Phone number: 503-231-2641
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