Individual
LINDA HAVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
996 NW CIRCLE BLVD STE 103, CORVALLIS, OR 97330-1485
(541) 768-4370
Mailing address
996 NW CIRCLE BLVD STE 103, CORVALLIS, OR 97330-1485
(541) 768-4370
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/10/2016
Last updated
06/13/2016
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