AMANDA GENE EVANS MAHONY

GRESHAM, OR
NPI1811476518
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR  18-07-01U)
Enumeration Date2018-08-13
Last Update Date2018-08-13
Business Address
AMANDA GENE EVANS MAHONY CADC I
233 SW WALLULA AVE
GRESHAM, OR 97080-6858
Phone number: 503-597-3938
Mailing Address
AMANDA GENE EVANS MAHONY CADC I
1204 SE BIDWELL ST
PORTLAND, OR 97202-6356
Phone number: 503-385-6033
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