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1972233757
BAX WILDER WHITE
PORTLAND, OR
NPI
1972233757
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Former Name
ELIZABETH ANNE WHITE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-06-14
Last Update Date
2022-06-14
Business Address
BAX WILDER WHITE MSW
3615 NE GRAND AVE
PORTLAND, OR 97212-2104
Phone number: 503-281-1166
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Mailing Address
BAX WILDER WHITE MSW
8982 N EXETER AVE
PORTLAND, OR 97203-5920
Phone number: 503-860-3064
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