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1073953014
TIM JOHN HAGGE
PORTLAND, OR
NPI
1073953014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L2408)
Enumeration Date
2013-07-03
Last Update Date
2013-07-03
Business Address
-- TIM JOHN HAGGE LCSW
818 NW 17TH AVE SUITE 10
PORTLAND, OR 97209-2327
Phone number: 503-309-3978
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Mailing Address
-- TIM JOHN HAGGE LCSW
7010 SW 63RD AVE
PORTLAND, OR 97219-1180
Phone number: 503-309-3978
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