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Julie Ann Ide

NPI #1215269691 in Portland, Oregon

Provider Information

NPI Number
1215269691
Entity Type
Individual
Name
Julie Ann Ide
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Music Therapist
Enumeration Date
Feb 9, 2010
Last Updated
Feb 9, 2010

Practice Location

Address
16807 SE KINGSRIDGE CT
City
Portland
State
Oregon
ZIP Code
97267-5268
Phone
(503) 380-8547

Specialties & Taxonomy Codes

Specialty
Music Therapist

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