Individual
MAIA CHLOE HALLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18330 SW DELINE ST, BEAVERTON, OR 97078-3814
(602) 622-5917
Mailing address
1275 SE 47TH AVE, PORTLAND, OR 97215-2511
(832) 290-9477
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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