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1063048494
TINA MARIE KNAUTZ
PORTLAND, OR
NPI
1063048494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 11-R-04)
Enumeration Date
2020-03-17
Last Update Date
2020-03-17
Business Address
TINA MARIE KNAUTZ CADC II
10920 SW BARBUR BLVD
PORTLAND, OR 97219-8600
Phone number: 503-244-4500
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Mailing Address
TINA MARIE KNAUTZ CADC II
10920 SW BARBUR BLVD
PORTLAND, OR 97219-8600
Phone number:
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