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1831265479
UNKNOWN HERON
PORTLAND, OR
NPI
1831265479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WC1500X Registered Nurse, Community Health
(Licence: OR 089006000RN)
Enumeration Date
2006-11-27
Last Update Date
2007-07-08
Business Address
Ms. UNKNOWN HERON RN
3828 N KISKA CT
PORTLAND, OR 97217-7342
Phone number: 503-285-4339
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Mailing Address
Ms. UNKNOWN HERON RN
3828 N KISKA CT
PORTLAND, OR 97217-7342
Phone number: 503-285-4339
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