PHYLLIS STEWART

PORTLAND, OR
NPI1972582666
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR  94-10-133)
Enumeration Date2006-01-11
Last Update Date2007-07-08
Business Address
PHYLLIS STEWART CADCII
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
Mailing Address
PHYLLIS STEWART CADCII
17645 NW SAINT HELENS RD
PORTLAND, OR 97231-1729
Phone number: 503-621-1069
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