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1255789244
SANDRA MATHESON
TIGARD, OR
NPI
1255789244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 15-07-12)
Enumeration Date
2016-05-31
Last Update Date
2016-05-31
Business Address
-- SANDRA MATHESON
10763 SW GREENBURG RD STE 100
TIGARD, OR 97223-5492
Phone number: 503-684-8159
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Mailing Address
-- SANDRA MATHESON
10763 SW GREENBURG RD STE 100
TIGARD, OR 97223-5492
Phone number: 503-684-8159
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