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1912401118
MITCHELL HAYES
PORTLAND, OR
NPI
1912401118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-03-21
Last Update Date
2018-03-21
Business Address
MITCHELL HAYES
3181 SW SAM JACKSON PARK RD. L-579
PORTLAND, OR 97239
Phone number: 503-494-8211
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Mailing Address
MITCHELL HAYES
3181 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Phone number:
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