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1255700134
HEATHER FOGG
BEAVERTON, OR
NPI
1255700134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-09-21
Last Update Date
2015-09-21
Business Address
-- HEATHER FOGG
1500 NW BETHANY BLVD SUITE 320
BEAVERTON, OR 97006-5208
Phone number: 503-567-3260
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Mailing Address
-- HEATHER FOGG
PO BOX 82819
PORTLAND, OR 97282-0819
Phone number:
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