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Individual

DESIREE AMYX-MACKINTOSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
811 13TH ST, HOOD RIVER, OR 97031-1204
(541) 307-6313
Mailing address
PO BOX 3390, PORTLAND, OR 97208-3390

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
022567
OR

Other

Enumeration date
04/10/2008
Last updated
04/10/2008
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