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1790904167
PAULA RENEE WADE
PORTLAND, OR
NPI
1790904167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: OR 3816)
Enumeration Date
2007-04-24
Last Update Date
2010-09-15
Business Address
Ms. PAULA RENEE WADE LCSW
4215 N MICHIGAN AVE
PORTLAND, OR 97217-3116
Phone number: 503-442-4862
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Mailing Address
Ms. PAULA RENEE WADE LCSW
4215 N MICHIGAN AVE
PORTLAND, OR 97217-3116
Phone number: 503-442-4862
Copy
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