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1295899425
LARRY L HALTER
TIGARD, OR
NPI
1295899425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 1037)
Enumeration Date
2006-12-21
Last Update Date
2007-07-09
Business Address
-- LARRY L HALTER Ph.D.
7455 SW BEVELAND RD
TIGARD, OR 97223-8610
Phone number: 503-624-2600
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Mailing Address
-- LARRY L HALTER Ph.D.
PO BOX 82819
PORTLAND, OR 97282-0819
Phone number: 503-233-5405
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