PHOENIX RAIN BLACK

TIGARD, OR
NPI1821749904
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-01-11
Last Update Date2022-01-11
Business Address
PHOENIX RAIN BLACK
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3740
Mailing Address
PHOENIX RAIN BLACK
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3740
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