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1285658880
HEATHER ANN HACK
PORTLAND, OR
NPI
1285658880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: OR DEM-LM-1008799)
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
-- HEATHER ANN HACK LDM, CPM
2620 SE 51ST AVE
PORTLAND, OR 97206-1414
Phone number: 503-504-0885
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Mailing Address
-- HEATHER ANN HACK LDM, CPM
2620 SE 51ST AVE
PORTLAND, OR 97206-1414
Phone number: 503-504-0885
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