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1033668454
ERIC TENGREN
GOLD BEACH, OR
NPI
1033668454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor Mental Health
Enumeration Date
2016-09-27
Last Update Date
2018-08-10
Business Address
ERIC TENGREN
29413 RUSSELL ST
GOLD BEACH, OR 97444
Phone number: 541-247-6566
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Mailing Address
ERIC TENGREN
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 480-432-5551
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