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1720475320
STEPHANIE C MCMAHON
GRESHAM, OR
NPI
1720475320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: OR 19-QMHA-I-00643)
Enumeration Date
2015-04-21
Last Update Date
2020-03-03
Business Address
STEPHANIE C MCMAHON QMHA-I
620 NE 2ND ST
GRESHAM, OR 97030-7514
Phone number: 971-274-3757
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Mailing Address
STEPHANIE C MCMAHON QMHA-I
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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