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1972044410
NICCOLE TRAUTMAN
PORTLAND, OR
NPI
1972044410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C040091116)
Enumeration Date
2017-03-16
Last Update Date
2017-03-16
Business Address
-- NICCOLE TRAUTMAN
6601 NE 78TH CT SUITE A-3
PORTLAND, OR 97218-2823
Phone number: 503-252-3949
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Mailing Address
-- NICCOLE TRAUTMAN
6601 NE 78TH CT SUITE A-3
PORTLAND, OR 97218-2823
Phone number: 503-252-3949
Copy
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