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1376270751
SUSAN MONTIEL- HERNANDEZ
BEAVERTON, OR
NPI
1376270751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2022-08-04
Last Update Date
2023-06-05
Business Address
SUSAN MONTIEL- HERNANDEZ
18188 NW WALKER RD APT 8
BEAVERTON, OR 97006-8625
Phone number: 503-853-4049
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Mailing Address
SUSAN MONTIEL- HERNANDEZ
18188 NW WALKER RD APT 8
BEAVERTON, OR 97006-8625
Phone number: 503-853-4049
Copy
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