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1053862110
TARA BLACKINTON
PORTLAND, OR
NPI
1053862110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR 16-CRM-196)
Enumeration Date
2016-10-24
Last Update Date
2016-11-01
Business Address
-- TARA BLACKINTON CRM
10209 SE DIVISION ST
PORTLAND, OR 97266-1372
Phone number: 971-517-7048
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Mailing Address
-- TARA BLACKINTON CRM
PO BOX 16756
PORTLAND, OR 97292-0756
Phone number: 971-517-7048
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