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1962067470
JEAN MICHELLE STONEBRAKER
PORTLAND, OR
NPI
1962067470
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Other Name
MICHELLE STONEBRAKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 19-QMHA-I-02189)
Enumeration Date
2019-05-09
Last Update Date
2023-07-03
Business Address
JEAN MICHELLE STONEBRAKER QMHA-I
1310 SW 17TH AVE
PORTLAND, OR 97201-2522
Phone number: 503-231-2641
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Mailing Address
JEAN MICHELLE STONEBRAKER QMHA-I
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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