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1902013717
KRISTINE CAVANAUGH
PORTLAND, OR
NPI
1902013717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: OR C2116)
Enumeration Date
2007-05-17
Last Update Date
2016-03-15
Business Address
-- KRISTINE CAVANAUGH LPC, CADC I
1007 NE BROADWAY ST STE 220
PORTLAND, OR 97232-1284
Phone number: 503-998-5727
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Mailing Address
-- KRISTINE CAVANAUGH LPC, CADC I
1007 NE BROADWAY ST STE 220
PORTLAND, OR 97232-1284
Phone number: 503-998-5727
Copy
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