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1790422855
SHALANE CECILIA-JANAE BALLENGER
MILWAUKIE, OR
NPI
1790422855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: OR THW000105638)
Enumeration Date
2022-05-19
Last Update Date
2022-05-19
Business Address
Miss SHALANE CECILIA-JANAE BALLENGER CHW
10330 SE 32ND AVE STE 325
MILWAUKIE, OR 97222-6656
Phone number: 503-941-3039
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Mailing Address
Miss SHALANE CECILIA-JANAE BALLENGER CHW
7320 SW HUNZIKER RD STE 300
PORTLAND, OR 97223-2302
Phone number: 503-941-3039
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