Individual
MAILE KRISTIN HEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5847 NE 122ND AVE, PORTLAND, OR 97230-1079
(971) 339-7040
Mailing address
3956 N VANCOUVER AVE, PORTLAND, OR 97227-2126
(503) 780-4023
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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