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1184995888
CHRISTOPHER THOMAS TUCKER
PORTLAND, OR
NPI
1184995888
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C2436)
Enumeration Date
2012-01-26
Last Update Date
2012-01-26
Business Address
Mr. CHRISTOPHER THOMAS TUCKER LPC
712 SE HAWTHORNE BLVD STE 100
PORTLAND, OR 97214-3538
Phone number: 503-341-5104
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Mailing Address
Mr. CHRISTOPHER THOMAS TUCKER LPC
712 SE HAWTHORNE BLVD STE 100
PORTLAND, OR 97214-3538
Phone number: 503-341-5104
Copy
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