Individual
CORA G HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
671 SW MAIN ST, WINSTON, OR 97496
(541) 492-4550
(541) 492-4553
Mailing address
PO BOX 12, WINSTON, OR 97496
(541) 492-4550
(541) 492-4553
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2474
OR
Other
Enumeration date
09/25/2014
Last updated
07/31/2018
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