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1821487463
SARAH ELAYNE STOLL
PORTLAND, OR
NPI
1821487463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 14-12-29)
Enumeration Date
2015-01-20
Last Update Date
2015-01-20
Business Address
-- SARAH ELAYNE STOLL CADC I
2901 E BURNSIDE ST
PORTLAND, OR 97214-1831
Phone number: 503-238-5203
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Mailing Address
-- SARAH ELAYNE STOLL CADC I
2901 E BURNSIDE ST
PORTLAND, OR 97214-1831
Phone number: 503-238-5203
Copy
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