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1912784893
MALISSA LYNN CLARKE
PORTLAND, OR
NPI
1912784893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-09-13
Last Update Date
2023-09-13
Business Address
MALISSA LYNN CLARKE
322 SW 11TH AVE
PORTLAND, OR 97205-2601
Phone number: 971-380-3150
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Mailing Address
MALISSA LYNN CLARKE
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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