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Organization

A HOPE FOR AUTISM FOUNDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNA V GOLDFARB (INTERVENTIONIST)
(317) 407-1417
Entity
Organization

Contact information

Practice address
2120 SW JEFFERSON ST # B200, PORTLAND, OR 97201-7727
(503) 244-4083
Mailing address
7506 E BURNSIDE ST APT B, PORTLAND, OR 97215-1578

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
12/27/2016
Last updated
12/27/2016
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