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Organization

HEALING FROM THE HEART

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JAVELIN L HARDY CSWA (SOCIAL WORKER)
(971) 275-9974
Entity
Organization

Contact information

Practice address
5425 NE 27TH AVE, PORTLAND, OR 97211-6227
(971) 275-9974
Mailing address
5425 NE 27TH AVE, PORTLAND, OR 97211-6227
(971) 275-9974

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A5513
OR

Other

Enumeration date
07/30/2015
Last updated
07/30/2015
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