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1780726976
LUSIJAH MARX
PORTLAND, OR
NPI
1780726976
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Former Name
LAURA JACOBSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist Counseling
(Licence: OR 964)
Enumeration Date
2007-02-13
Last Update Date
2007-07-09
Business Address
LUSIJAH MARX PSYD, PMHNP, RN
2901 E BURNSIDE ST
PORTLAND, OR 97214-1831
Phone number: 503-238-5203
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Mailing Address
LUSIJAH MARX PSYD, PMHNP, RN
2901 E BURNSIDE ST
PORTLAND, OR 97214-1831
Phone number: 503-238-5203
Copy
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