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1780984930
SALLY FOSTER RUDOLPH
PORTLAND, OR
NPI
1780984930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2010-10-21
Last Update Date
2010-10-21
Business Address
SALLY FOSTER RUDOLPH MA
1500 NE IRVING ST SUITE 250
PORTLAND, OR 97232-2243
Phone number: 503-258-4200
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Mailing Address
SALLY FOSTER RUDOLPH MA
4628 SE 47TH AVE
PORTLAND, OR 97206-4136
Phone number: 774-836-7321
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