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1366105595
IRA LEON TENA
TIGARD, OR
NPI
1366105595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-10-14
Last Update Date
2021-10-14
Business Address
IRA LEON TENA
11970 SW GREENBURG RD
TIGARD, OR 97223-6453
Phone number: 503-624-8304
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Mailing Address
IRA LEON TENA
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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