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1366800591
KRISTINE MIDYETT
PORTLAND, OR
NPI
1366800591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L5949)
Enumeration Date
2016-02-02
Last Update Date
2016-02-02
Business Address
-- KRISTINE MIDYETT LCSW
621 SW ALDER ST SUITE 400
PORTLAND, OR 97205-3626
Phone number: 800-435-2197
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Mailing Address
-- KRISTINE MIDYETT LCSW
621 SW ALDER ST SUITE 400
PORTLAND, OR 97205-3626
Phone number: 800-435-2197
Copy
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