Individual
DEANNE C HAISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
10202 SE 32ND AVE, STE. 504, MILWAUKIE, OR 97222-3610
(503) 645-3581
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
(503) 590-9605
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2972
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47037660631
—
NE
Enumeration date
01/23/2007
Last updated
01/28/2012
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