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1841802709
AUTUMN ELIZABETH-ROSE PEREZ
PORTLAND, OR
NPI
1841802709
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 24-QMHA-I-004495)
Enumeration Date
2020-08-20
Last Update Date
2024-10-07
Business Address
AUTUMN ELIZABETH-ROSE PEREZ QMHA-I
12360 E BURNSIDE ST
PORTLAND, OR 97233-1042
Phone number: 971-279-4800
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Mailing Address
AUTUMN ELIZABETH-ROSE PEREZ QMHA-I
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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