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1225518426
TYLER DEAN JACKSON
CORVALLIS, OR
NPI
1225518426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2018-08-16
Last Update Date
2018-08-16
Business Address
Mr. TYLER DEAN JACKSON
4455 NE HWY 20
CORVALLIS, OR 97330
Phone number: 541-758-5900
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Mailing Address
Mr. TYLER DEAN JACKSON
3415 SE POWELL BLVD
PORTLAND, OR 97202
Phone number: 503-234-9591
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