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1568509677
JAMES JOHN HEIDRICK
PORTLAND, OR
NPI
1568509677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
-- JAMES JOHN HEIDRICK QMHA
131 NE 102ND AVE
PORTLAND, OR 97220-4167
Phone number: 503-253-6754
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Mailing Address
-- JAMES JOHN HEIDRICK QMHA
131 NE 102ND AVE
PORTLAND, OR 97220-4167
Phone number:
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