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1043656713
HEATHER RANAE MCINTOSH
PORTLAND, OR
NPI
1043656713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L4379)
Enumeration Date
2013-05-21
Last Update Date
2013-05-21
Business Address
-- HEATHER RANAE MCINTOSH LCSW
7323 N BURLINGTON AVE
PORTLAND, OR 97203
Phone number: 503-572-0858
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Mailing Address
-- HEATHER RANAE MCINTOSH LCSW
9821 N VAN HOUTEN AVE
PORTLAND, OR 97203-1958
Phone number: 503-572-0858
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