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LASHAUNDA JACKSON

Mental Illness Community Based Residential Treatment Facility

NPI: 1326186271Individual

Specialties, Licenses & Credentials

Community Based Residential Treatment Facility, Mental Illness

Code: 320800000X

Case Manager/Care Coordinator

Code: 171M00000X

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Contact & Hours

Address
509 NE ALBERTA ST
PORTLAND, OR 97211

Quick Facts

NPI
1326186271
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
2
Locations
1

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