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1861974776
MARY LEE NICHOLS PHD LLC
PORTLAND, OR
NPI
1861974776
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Entity Type
Organization
Authorized Contact
KATHY WINSLOW
Office Manager
503-277-3868
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: OR 949)
Enumeration Date
2018-09-06
Last Update Date
2018-09-06
Business Address
MARY LEE NICHOLS PHD LLC
1133 NW 21ST AVE
PORTLAND, OR 97209-1513
Phone number: 503-277-3868
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Mailing Address
MARY LEE NICHOLS PHD LLC
1133 NW 21ST AVE
PORTLAND, OR 97209-1513
Phone number: 503-277-3868
Copy
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