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1346776556
TANIS VAIL HAYDEN
PORTLAND, OR
NPI
1346776556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-05-08
Last Update Date
2017-05-08
Business Address
Mrs. TANIS VAIL HAYDEN
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 971-300-1815
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Mailing Address
Mrs. TANIS VAIL HAYDEN
2600 SE BELMONT
PORTLAND, OR 97214
Phone number: 971-300-1815
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