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Individual

MRS. ELENI M CABANISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
Mailing address
1622 SE CRYSTAL LAKE DR, APT. C, CORVALLIS, OR 97333-1265
(509) 930-8246

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
OR

Other

Enumeration date
10/21/2011
Last updated
10/21/2011
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