Dena Louise Fairchild, QMHA

NPI #1689937443 in Gladstone, Oregon

Provider Information

NPI Number: 1689937443
Entity Type: Individual
Name: Dena Louise Fairchild, QMHA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Adult Companion
Credential: QMHA
Enumeration Date: Jun 18, 2012
Last Updated: Jun 18, 2012

Practice Location

Address: 1020 PORTLAND AVE
City: Gladstone
State: Oregon
ZIP Code: 97027-2155
Phone: (503) 238-0769

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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