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1932541984
MELANIE DONNELLY
PORTLAND, OR
NPI
1932541984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-07-18
Last Update Date
2013-07-18
Business Address
-- MELANIE DONNELLY
2415 SE 43RD AVE
PORTLAND, OR 97206-1600
Phone number: 503-238-0705
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Mailing Address
-- MELANIE DONNELLY
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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