NATHAN TUCKER

PORTLAND, OR
NPI1083175335
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-03-28
Last Update Date2019-03-28
Business Address
NATHAN TUCKER
324 NW DAVIS ST
PORTLAND, OR 97209-3925
Phone number: 503-226-2203
Mailing Address
NATHAN TUCKER
324 NW DAVIS ST
PORTLAND, OR 97209-3925
Phone number: 503-226-2203
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