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Individual

DEIRDRE KATHLEEN BENTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
QMHP

Contact information

Practice address
310 NW FLANDERS ST, PORTLAND, OR 97209-3941
(503) 827-3949
(503) 827-0931
Mailing address
2714 SE 28TH AVE, PORTLAND, OR 97202-1313

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
372600000X
Adult Companion

Other

Enumeration date
01/24/2007
Last updated
10/15/2010
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