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1295510386
HEIDI LYNN FREDEEN
PORTLAND, OR
NPI
1295510386
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Former Name
HEIDI LYNN REIHER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-08-28
Last Update Date
2023-08-28
Business Address
HEIDI LYNN FREDEEN
3036 NE MLK JR BLVD
PORTLAND, OR 97212-3053
Phone number: 503-283-3763
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Mailing Address
HEIDI LYNN FREDEEN
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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