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Individual

HEATHER JOY DALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5200 S MACADAM AVE STE 580, PORTLAND, OR 97239-3837
(480) 570-3944
Mailing address
1614 SE 24TH AVE, PORTLAND, OR 97214-4856
(971) 330-5571

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/07/2025
Last updated
07/07/2025
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