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1730587239
KLARISSA MEINHOLTZ
PORTLAND, OR
NPI
1730587239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-12-15
Last Update Date
2016-03-15
Business Address
-- KLARISSA MEINHOLTZ QMHA, BA
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1150
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Mailing Address
-- KLARISSA MEINHOLTZ QMHA, BA
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number: 503-535-1150
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