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1982250437
LISA MARIE NEWPORT
PORTLAND, OR
NPI
1982250437
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Former Name
LISA MARIE MILLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR THW3782)
Enumeration Date
2019-08-12
Last Update Date
2019-08-12
Business Address
LISA MARIE NEWPORT
33 NW BROADWAY
PORTLAND, OR 97209-3580
Phone number: 503-228-7419
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Mailing Address
LISA MARIE NEWPORT
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-294-1681
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