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Individual

AUDRA LEE HARLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1607 BEAVERCREEK RD, OREGON CITY, OR 97045-4291
(971) 233-6198
Mailing address
1607 BEAVERCREEK RD, OREGON CITY, OR 97045-4291

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/04/2020
Last updated
12/04/2020
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