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1659028843
HALEY RUSSO
PORTLAND, OR
NPI
1659028843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-03-07
Last Update Date
2022-03-07
Business Address
HALEY RUSSO
10714 NE GLISAN ST
PORTLAND, OR 97220-4046
Phone number: 503-256-2453
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Mailing Address
HALEY RUSSO
12628 SW 172ND TER APT 205
BEAVERTON, OR 97007-2087
Phone number: 714-353-7516
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