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1669831897
SUSAN HALLER
PORTLAND, OR
NPI
1669831897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-02-16
Last Update Date
2016-02-16
Business Address
SUSAN HALLER
12505 SE RAYMOND ST
PORTLAND, OR 97236-3931
Phone number: 503-760-8300
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Mailing Address
SUSAN HALLER
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 503-704-9980
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