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PORTLAND, OR
NPI1760914493
Entity TypeOrganization
Authorized ContactCHELSEA KELLOGG
Peer Support Specialist
503-290-4513
Organization Subpart ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2017-03-31
Last Update Date2017-03-31
Business Address
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1720 NW LOVEJOY ST # 329
PORTLAND, OR 97209-2346
Phone number: 503-290-4513
Mailing Address
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PO BOX 2071
PORTLAND, OR 97208-2071
Phone number: 503-290-4513
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