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1053963819
TATYANA VOSTRIKOV
PORTLAND, OR
NPI
1053963819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-07-11
Last Update Date
2019-07-11
Business Address
TATYANA VOSTRIKOV
605 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214-3216
Phone number: 503-731-9539
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Mailing Address
TATYANA VOSTRIKOV
605 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214-3216
Phone number: 503-731-9539
Copy
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