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Individual

AUTUMN ELIZABETH BEDDINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2333 SE 12TH AVE, PORTLAND, OR 97214-5323
(503) 206-2400
Mailing address
2333 SE 12TH AVE, PORTLAND, OR 97214-5323
(503) 206-2400

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
08/24/2023
Last updated
09/19/2023
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