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1770209066
MADISON PORT-SONENSHINE
PORTLAND, OR
NPI
1770209066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OR ABA-IN-10226701)
Enumeration Date
2022-10-18
Last Update Date
2022-10-18
Business Address
MADISON PORT-SONENSHINE
1827 NE 44TH AVE STE 390
PORTLAND, OR 97213-1461
Phone number: 503-963-6494
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Mailing Address
MADISON PORT-SONENSHINE
3333 N HUNT ST
PORTLAND, OR 97217-7169
Phone number: 707-293-5288
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