TRINA HAZEL CONNOLLY-FAIRCHILD

PORTLAND, OR
NPI1760789929
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-02-23
Last Update Date2011-02-23
Business Address
Ms. TRINA HAZEL CONNOLLY-FAIRCHILD
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1151
Mailing Address
Ms. TRINA HAZEL CONNOLLY-FAIRCHILD
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number:
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