LISA MARIE NICHOLS

PORTLAND, OR
NPI1821134016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-01-29
Last Update Date2007-07-08
Business Address
Mrs. LISA MARIE NICHOLS QMHA
412 SW 12TH AVE
PORTLAND, OR 97205-2329
Phone number: 503-552-5105
Mailing Address
Mrs. LISA MARIE NICHOLS QMHA
7028 N MOBILE AVE
PORTLAND, OR 97217-5744
Phone number: 503-552-5105
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