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Individual

ALLISON WALKER PLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 205-6177
Mailing address
3562 SE HARRISON ST APT 2, PORTLAND, OR 97214-5800
(530) 710-4123

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/08/2021
Last updated
05/08/2021
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