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Individual

MRS. LISKA NOELLE MCNALLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MT-BC

Contact information

Practice address
5131 SW 38TH PL, APARTMENT #47, PORTLAND, OR 97221-3851
(503) 452-4078
Mailing address
5131 SW 38TH PL, APARTMENT #47, PORTLAND, OR 97221-3851
(503) 452-4078

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
08445
OR

Other

Enumeration date
01/14/2009
Last updated
01/14/2009
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