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1295921849
BENJAMIN SP HEGTVEDT
PORTLAND, OR
NPI
1295921849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2007-09-18
Last Update Date
2007-09-18
Business Address
BENJAMIN SP HEGTVEDT
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 503-239-5738
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Mailing Address
BENJAMIN SP HEGTVEDT
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 503-239-5738
Copy
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