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1700143039
TARA LYNNE HEENEY
PORTLAND, OR
NPI
1700143039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR DO173008)
Enumeration Date
2012-04-11
Last Update Date
2020-10-19
Business Address
TARA LYNNE HEENEY D.O.
5005 NE SANDY BLVD
PORTLAND, OR 97213-1941
Phone number: 503-233-6940
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Mailing Address
TARA LYNNE HEENEY D.O.
800 SW 13TH AVE
PORTLAND, OR 97205
Phone number:
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