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Individual

CHELSE ANN HAGUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10444 SE LIEBE ST, PORTLAND, OR 97266-3538
(503) 984-0998
Mailing address
200 SW FLORENCE AVE APT I3, GRESHAM, OR 97080-7126
(503) 984-0998

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
03/12/2021
Last updated
03/12/2021
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