FLORENCE MUTIE

PORTLAND, OR
NPI1821491853
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2014-10-05
Last Update Date2014-10-05
Business Address
-- FLORENCE MUTIE
5123 SW 62ND AVE
PORTLAND, OR 97221-1170
Phone number: 503-453-2290
Mailing Address
-- FLORENCE MUTIE
5123 SW 62ND AVE
PORTLAND, OR 97221-1170
Phone number:
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