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Individual

MISS ASHLEE MARIA LAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9911 SE MOUNT SCOTT BLVD, PORTLAND, OR 97266-6302
(503) 258-4200
Mailing address
10126 SE HOLGATE BLVD, PORTLAND, OR 97266-2417
(503) 314-5452

Taxonomy

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

Other

Enumeration date
04/04/2012
Last updated
04/04/2012
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