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Individual

LILLIE MARGARET DAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
QMHA

Contact information

Practice address
707 NW EVERETT ST, PORTLAND, OR 97209-3517
(503) 222-4906
(503) 222-3215
Mailing address
530 SE 136TH AVE, PORTLAND, OR 97233-1930
(503) 257-0447

Taxonomy

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

Other

Enumeration date
01/24/2007
Last updated
07/08/2007
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