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1154526846
TYRONE WAYNE WATERS
PORTLAND, OR
NPI
1154526846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-06-20
Last Update Date
2007-07-13
Business Address
Mr. TYRONE WAYNE WATERS peer advocate lead
2034 SE 6TH AVE
PORTLAND, OR 97214-4510
Phone number: 503-238-6801
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Mailing Address
Mr. TYRONE WAYNE WATERS peer advocate lead
101 N MORRIS ST #315
PORTLAND, OR 97227-1572
Phone number: 503-238-6801
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