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NPI Profile for JOLENE G HEINRICH in PORTLAND, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
101YS0200X | |||
School |
103TS0200X | 62 | Psychologist, Clinical |
| NPI # | 1346961620 |
|
| Status | Active | |
| Credentials | M.A.T. | |
| Entity | Individual | |
| Enumeration date | 09/06/2022 | |
| Last updated | 09/06/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JOLENE G HEINRICH
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JOLENE G HEINRICH, M.A.T.