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1003239757
HEAVEN WOODS
PORTLAND, OR
NPI
1003239757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2014-01-31
Last Update Date
2014-01-31
Business Address
-- HEAVEN WOODS
847 NE 19TH AVE
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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Mailing Address
-- HEAVEN WOODS
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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