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1881370153
JAE PATRICIA DOUGLAS
PORTLAND, OR
NPI
1881370153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR M13927)
Enumeration Date
2023-06-22
Last Update Date
2023-06-22
Business Address
Dr. JAE PATRICIA DOUGLAS LMSW, Ph.D.
9805 NE SHAVER ST
PORTLAND, OR 97220-3651
Phone number: 503-860-7589
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Mailing Address
Dr. JAE PATRICIA DOUGLAS LMSW, Ph.D.
9805 NE SHAVER ST
PORTLAND, OR 97220-3651
Phone number: 503-860-7589
Copy
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