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1891352696
LISA A DOUGLASS
PORTLAND, OR
NPI
1891352696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-05-28
Last Update Date
2019-05-28
Business Address
LISA A DOUGLASS
9115 SW OLESON RD STE 100
PORTLAND, OR 97223-6876
Phone number: 971-236-0915
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Mailing Address
LISA A DOUGLASS
9115 SW OLESON RD STE 100
PORTLAND, OR 97223-6876
Phone number: 404-542-3769
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