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1306205729
TAMIKA TYRELL MOTTON
PORTLAND, OR
NPI
1306205729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 17-P-13)
Enumeration Date
2016-02-12
Last Update Date
2019-12-11
Business Address
TAMIKA TYRELL MOTTON CADC II, CRM, PSS
10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220-3873
Phone number: 503-253-6754
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Mailing Address
TAMIKA TYRELL MOTTON CADC II, CRM, PSS
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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