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1831765932
THEA MARIE BASMILLO LEE
BEAVERTON, OR
NPI
1831765932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2021-05-28
Last Update Date
2021-05-28
Business Address
THEA MARIE BASMILLO LEE MSW
10700 SW BEAVERTON HILLSDALE HWY STE 11
BEAVERTON, OR 97005-3035
Phone number: 503-641-1475
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Mailing Address
THEA MARIE BASMILLO LEE MSW
5415 SW WESTGATE DR
PORTLAND, OR 97221-2409
Phone number: 503-645-3581
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