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1003186636
AMY HETLAGE
PORTLAND, OR
NPI
1003186636
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2012-01-12
Last Update Date
2012-01-12
Business Address
-- AMY HETLAGE MSW
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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Mailing Address
-- AMY HETLAGE MSW
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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