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1093843310
JIM HLAVA
PORTLAND, OR
NPI
1093843310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 1161)
Enumeration Date
2007-02-28
Last Update Date
2008-04-17
Business Address
-- JIM HLAVA LCSW
3034 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212-3053
Phone number: 503-998-3406
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Mailing Address
-- JIM HLAVA LCSW
PO BOX 9275
PORTLAND, OR 97207-9275
Phone number:
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