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1760043285
KELLI EGGIMANN
PORTLAND, OR
NPI
1760043285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-06-25
Last Update Date
2019-06-25
Business Address
KELLI EGGIMANN
847 NE 19TH AVE STE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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Mailing Address
KELLI EGGIMANN
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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