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1740656149
COLETTE KENNY VERDES
PORTLAND, OR
NPI
1740656149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-08-19
Last Update Date
2015-08-19
Business Address
-- COLETTE KENNY VERDES
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1151
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Mailing Address
-- COLETTE KENNY VERDES
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number: 503-535-1151
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