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1760740104
MARINA LEELA VIGNOS
PORTLAND, OR
NPI
1760740104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
(Licence: unlicensed)
Enumeration Date
2012-04-23
Last Update Date
2016-07-22
Business Address
-- MARINA LEELA VIGNOS MS
847 NE 19TH AVE SUITE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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Mailing Address
-- MARINA LEELA VIGNOS MS
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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