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MICHELLE VOWELS, PMH NP, INC. 1675 SW Marlow Ave. #210A Portland, OR 97225 Phone: (503)2274374 Fax: (503)2274603 AUTHORIZATION TO USE AND DISCLOSE PROTECTED HEALTH INFORMATION I authorize: (Name of
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Michelle Voegels PMHNP Inc is a psychiatric mental health nurse practitioner (PMHNP) corporation.
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