ERIC TENGREN

GOLD BEACH, OR
NPI1033668454
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor Mental Health
Enumeration Date2016-09-27
Last Update Date2018-08-10
Business Address
ERIC TENGREN
29413 RUSSELL ST
GOLD BEACH, OR 97444
Phone number: 541-247-6566
Mailing Address
ERIC TENGREN
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 480-432-5551