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1215945753
KRISTIN HAINES MANGAN
PORTLAND, OR
NPI
1215945753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 12642)
Enumeration Date
2006-08-03
Last Update Date
2009-07-08
Business Address
Mrs. KRISTIN HAINES MANGAN CCC-SLP
707 SW GAINES ST
PORTLAND, OR 97239-2901
Phone number: 800-452-3563
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Mailing Address
Mrs. KRISTIN HAINES MANGAN CCC-SLP
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-9045
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