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1952324469
ROBERTA T RICKETTS
PORTLAND, OR
NPI
1952324469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: OR 1427)
Enumeration Date
2006-07-25
Last Update Date
2007-07-08
Business Address
ROBERTA T RICKETTS PHD
522 SW 5TH AVE SUITE 725
PORTLAND, OR 97204-2133
Phone number: 503-222-2448
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Mailing Address
ROBERTA T RICKETTS PHD
522 SW 5TH AVE SUITE 725
PORTLAND, OR 97204-2133
Phone number: 503-222-2448
Copy
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