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Licensee/Applicant Detail - Verification of Licensure/Application Status

Information current as of: 08/20/2019
Query Time: 08/20/2019 08:31:35 pm

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License/Application Number 1338
First Name Heather L.
Last Name Stein
Title Psy.D.
Address 2143 NE Broadway St., #5
City Portland
State OR
Country U.S.A
Phone Number 503-804-2736
Status Active Psychologist
Date Licensed 1/1/1999
Expiration Date 12/31/2019
Proposed or Final Board Action No
Under Supervision No

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