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1255501805
TANYA R WORMDAHL
PORTLAND, OR
NPI
1255501805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: OR 11215)
Enumeration Date
2008-03-10
Last Update Date
2008-03-10
Business Address
Mrs. TANYA R WORMDAHL LMT
5553 NE GLISAN ST 300
PORTLAND, OR 97213-3173
Phone number: 503-757-3878
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Mailing Address
Mrs. TANYA R WORMDAHL LMT
5553 NE GLISAN ST 300
PORTLAND, OR 97213-3173
Phone number: 503-757-3878
Copy
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