Individual
HEBA KHALID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
Mailing address
5914 SE LEXINGTON ST, PORTLAND, OR 97206-8106
(971) 678-6656
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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