Individual
MS. MARI ELIZABETH BORDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CADCII
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 249-3434
Mailing address
3550 N INTERSTATE AVE FL 2, PORTLAND, OR 97227-1196
(503) 249-3434
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
OR 97-04-75
OR
Other
Enumeration date
03/10/2007
Last updated
07/13/2007
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