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1245672781
TIFFANY BIRD
PORTLAND, OR
NPI
1245672781
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Other Name
T. BIRD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 13-06-05)
Enumeration Date
2013-07-25
Last Update Date
2013-07-25
Business Address
-- TIFFANY BIRD CADC I
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1150
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Mailing Address
-- TIFFANY BIRD CADC I
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number: 503-535-1150
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