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1962556563
SANDRA MEGAN CORNWALL
PORTLAND, OR
NPI
1962556563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
372600000X Adult Companion
Enumeration Date
2007-01-22
Last Update Date
2015-03-22
Business Address
-- SANDRA MEGAN CORNWALL QMHA
945 NE 165TH AVE
PORTLAND, OR 97230-6148
Phone number: 971-409-9113
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Mailing Address
-- SANDRA MEGAN CORNWALL QMHA
9205 SE SALMON ST
PORTLAND, OR 97216-2119
Phone number: 971-409-9113
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