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1982301107
NICOLE BISHOP
TIGARD, OR
NPI
1982301107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-02-08
Last Update Date
2023-02-08
Business Address
NICOLE BISHOP
10362 SW MCDONALD ST
TIGARD, OR 97224-4863
Phone number: 971-202-7964
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Mailing Address
NICOLE BISHOP
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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