Individual
HAYLEY ALEXUS TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2030 SE 185TH AVE, PORTLAND, OR 97233-5626
(503) 501-8508
Mailing address
2030 SE 185TH AVE, PORTLAND, OR 97233-5626
(503) 501-8508
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2710554
OR
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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