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1790020220
RENATA AUSTIN
PORTLAND, OR
NPI
1790020220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR R6474)
Enumeration Date
2012-12-10
Last Update Date
2023-05-12
Business Address
RENATA AUSTIN
631 NE 102ND AVE
PORTLAND, OR 97220-4004
Phone number: 503-658-9608
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Mailing Address
RENATA AUSTIN
631 NE 102ND AVE
PORTLAND, OR 97220-4004
Phone number: 503-658-9608
Copy
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