2701 NW Vaughn Street, Suite 424, Portland, OR 97210 (503) 243-2699

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NOTICE OF USE OF PRIVATE HEALTH INFORMATION
FOR YOUR PROTECTION THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Effective Date: April 14, 2003 - current

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