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1982473849
LISA FARWELL
BEND, OR
NPI
1982473849
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Former Name
LISA JONES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-23-3229)
Enumeration Date
2023-12-20
Last Update Date
2023-12-20
Business Address
LISA FARWELL
401 NE BURNSIDE AVE
BEND, OR 97701-5122
Phone number: 541-797-0098
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Mailing Address
LISA FARWELL
18600 SE MCLOUGHLIN BLVD
MILWAUKIE, OR 97267-6723
Phone number:
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