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1962287755
HEATHER MAE TAYLOR
GRESHAM, OR
NPI
1962287755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 23-08-10849)
Enumeration Date
2023-08-29
Last Update Date
2023-08-29
Business Address
HEATHER MAE TAYLOR CADC I
620 NE 2ND ST
GRESHAM, OR 97030-7514
Phone number: 971-274-3757
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Mailing Address
HEATHER MAE TAYLOR CADC I
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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