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1912547290
MILES E HAVARD
PORTLAND, OR
NPI
1912547290
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2020-01-14
Last Update Date
2020-01-14
Business Address
MILES E HAVARD PSS
3036 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212-3053
Phone number: 503-889-2500
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Mailing Address
MILES E HAVARD PSS
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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