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1902174410
ROBYNNELLE JACINDA SMITH
BEAVERTON, OR
NPI
1902174410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-12-12
Last Update Date
2011-12-12
Business Address
Ms. ROBYNNELLE JACINDA SMITH
14255 SW BRIGADOON CT
BEAVERTON, OR 97005-3369
Phone number: 503-641-1475
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Mailing Address
Ms. ROBYNNELLE JACINDA SMITH
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-9581
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