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1982270161
THERESA CHAN
PORTLAND, OR
NPI
1982270161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: OR 3025)
Enumeration Date
2021-05-28
Last Update Date
2022-01-25
Business Address
THERESA CHAN PhD
2625 E BURNSIDE ST APT 329
PORTLAND, OR 97214-1875
Phone number: 503-852-1168
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Mailing Address
THERESA CHAN PhD
2625 E BURNSIDE ST APT 329
PORTLAND, OR 97214-1875
Phone number:
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