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Individual

MS. CYNTHIA ANN LILLIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7621 N PORTSMOUTH AVE, PORTLAND, OR 97203-5953
(503) 240-7599
Mailing address
913 W 36TH ST, VANCOUVER, WA 98660-1837

Taxonomy

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

Other

Enumeration date
02/02/2007
Last updated
07/08/2007
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