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1952689762
MARIEL BAY GRIMORD-ISHAM
PORTLAND, OR
NPI
1952689762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L6323)
Enumeration Date
2011-07-27
Last Update Date
2015-03-04
Business Address
-- MARIEL BAY GRIMORD-ISHAM MSW, LCSW
200 SE 7TH AVE
PORTLAND, OR 97214-1200
Phone number: 503-972-9537
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Mailing Address
-- MARIEL BAY GRIMORD-ISHAM MSW, LCSW
8214 N NEWMAN AVE
PORTLAND, OR 97203-3544
Phone number: 503-553-9099
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