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Individual

ZAYNE VACHERESSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
707 NE COUCH ST, PORTLAND, OR 97232-2922
(503) 542-4603
(503) 233-6093
Mailing address
2914 SW FAIRMOUNT BLVD, PORTLAND, OR 97239-1437

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
03/22/2016
Last updated
03/22/2016
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