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Individual

MISS LINDA DEE PACKARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.C.

Contact information

Practice address
1207 SE 72ND AVE, PORTLAND, OR 97215-2909
(503) 262-7746
Mailing address
1207 SE 72ND AVE, PORTLAND, OR 97215-2909
(503) 262-7746

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CO787
OR

Other

Enumeration date
05/26/2009
Last updated
05/26/2009
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