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1427197102
HEATHER MARIE MOODY
PORTLAND, OR
NPI
1427197102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-02-06
Last Update Date
2007-07-08
Business Address
Mrs. HEATHER MARIE MOODY BS
2330 NE SISKIYOU ST
PORTLAND, OR 97212-2471
Phone number: 503-528-0757
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Mailing Address
Mrs. HEATHER MARIE MOODY BS
1530 SE 140TH AVE
PORTLAND, OR 97233-2315
Phone number: 503-528-0757
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