Individual
MS. MARGOT COREY CYBULSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 998-6015
Mailing address
772 NE 162ND AVE., PORTLAND, OR 97230
(503) 998-6015
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/09/2010
Last updated
11/23/2010
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