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1104949411
TANA PAGET
PORTLAND, OR
NPI
1104949411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 1480)
Enumeration Date
2007-04-10
Last Update Date
2007-07-08
Business Address
-- TANA PAGET
1962 NW KEARNEY ST STE 202
PORTLAND, OR 97209-1464
Phone number: 503-975-6984
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Mailing Address
-- TANA PAGET
1962 NW KEARNEY ST STE 202
PORTLAND, OR 97209-1464
Phone number:
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