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Individual

MARLEN I HALVERSON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ND

Contact information

Practice address
8375 SW BEAVERTON HILLSDALE HWY, SUITE C, PORTLAND, OR 97225-2252
(503) 206-6996
(888) 959-9018
Mailing address
3101 SW 1ST AVE, PORTLAND, OR 97201-4601
(503) 206-6996
(888) 959-9018

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1885
OR

Other

Enumeration date
04/09/2012
Last updated
03/13/2017
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