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1790932523
FAVOR SHAREE ELLIS
PORTLAND, OR
NPI
1790932523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-08-22
Last Update Date
2008-08-22
Business Address
Ms. FAVOR SHAREE ELLIS
2100 SE BELMONT ST
PORTLAND, OR 97214-2815
Phone number: 503-872-9664
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Mailing Address
Ms. FAVOR SHAREE ELLIS
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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