LARK JEANENE ROE

PORTLAND, OR
NPI1912061862
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2006-12-21
Last Update Date2007-07-08
Business Address
-- LARK JEANENE ROE QMHP
13317 SE POWELL BLVD
PORTLAND, OR 97236-3335
Phone number: 503-760-9606
Mailing Address
-- LARK JEANENE ROE QMHP
PO BOX 86405
PORTLAND, OR 97286-0405
Phone number: 503-775-3488
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