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1851532139
CHARLENE EICKHOLT
PORTLAND, OR
NPI
1851532139
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Other Name
CHAR EICKHOLT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: OR PSY1323)
Enumeration Date
2009-03-16
Last Update Date
2009-03-16
Business Address
Dr. CHARLENE EICKHOLT Ph.D.
1405 NE BROADWAY SUITE # 200
PORTLAND, OR 97232-1497
Phone number: 503-288-5516
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Mailing Address
Dr. CHARLENE EICKHOLT Ph.D.
1405 NE BROADWAY SUITE # 200
PORTLAND, OR 97232-1497
Phone number: 503-288-5516
Copy
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