Individual
MRS. CHANTAL ANNETTE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1823 NE 8TH AVE, PORTLAND, OR 97212-3907
(503) 460-2796
Mailing address
1823 NE 8TH AVE, PORTLAND, OR 97212-3907
(503) 460-2796
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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