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1154851533
HEIDI JO AIKEN
PORTLAND, OR
NPI
1154851533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OR 1052199)
Enumeration Date
2017-06-18
Last Update Date
2017-06-18
Business Address
HEIDI JO AIKEN COTA/L
12441 SE STARK ST
PORTLAND, OR 97233-1053
Phone number: 503-255-7040
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Mailing Address
HEIDI JO AIKEN COTA/L
5812 N WILBUR AVE
PORTLAND, OR 97217-4227
Phone number: 541-310-9545
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