Individual
HEATHER MIRENDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 DIVISION ST, 90, OREGON CITY, OR 97045-1581
(503) 557-1373
Mailing address
1510 DIVISION ST, 90, OREGON CITY, OR 97045-1581
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/12/2016
Last updated
12/17/2021
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