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1871358127
CANDACE NICHOLE IRVIN
PORTLAND, OR
NPI
1871358127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2024-02-15
Last Update Date
2024-02-15
Business Address
CANDACE NICHOLE IRVIN
1427 SE 182ND AVE
PORTLAND, OR 97233-5008
Phone number: 503-761-6006
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Mailing Address
CANDACE NICHOLE IRVIN
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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