Individual
MRS. HEATHER JEAN MAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 NE 7TH ST, GRESHAM, OR 97030-5604
(503) 661-5455
Mailing address
17400 SE 422ND AVE, SANDY, OR 97055-6729
(503) 929-8184
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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