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1790530509
ANGELICA NIKO CHERNYSHEVA
PORTLAND, OR
NPI
1790530509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-24-3496)
Enumeration Date
2024-04-23
Last Update Date
2024-04-28
Business Address
Ms. ANGELICA NIKO CHERNYSHEVA CADC-R
211 NE 18TH AVE
PORTLAND, OR 97232-2822
Phone number: 603-748-0404
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Mailing Address
Ms. ANGELICA NIKO CHERNYSHEVA CADC-R
12670 NW BARNES RD STE 200
PORTLAND, OR 97229-9001
Phone number: 603-748-0404
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