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1972838274
REBECCA SOUTHARD
PORTLAND, OR
NPI
1972838274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-10-05
Last Update Date
2009-10-05
Business Address
-- REBECCA SOUTHARD
10373 NE HANCOCK ST
PORTLAND, OR 97220-3873
Phone number: 503-253-6754
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Mailing Address
-- REBECCA SOUTHARD
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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