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Individual

MS. EDNA ANN SLATE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
20 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97232-2941
(541) 350-8254
Mailing address
20 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97232-2941

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/06/2011
Last updated
05/06/2011
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