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1922468644
EMMA DIANE PARKS
PORTLAND, OR
NPI
1922468644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-02-24
Last Update Date
2016-02-24
Business Address
-- EMMA DIANE PARKS CRM
3655 NE GARFIELD AVE
PORTLAND, OR 97212-2094
Phone number: 503-528-2140
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Mailing Address
-- EMMA DIANE PARKS CRM
3655 NE GARFIELD AVE
PORTLAND, OR 97212-2094
Phone number: 503-528-2140
Copy
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