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1366200156
TIFFANY ROSE CAMPBELL
PORTLAND, OR
NPI
1366200156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101Y00000X Counselor
(Licence: OR QMHA-R)
Enumeration Date
2024-03-07
Last Update Date
2024-03-07
Business Address
TIFFANY ROSE CAMPBELL QMHA-R
508 NW 5TH AVE.
PORTLAND, OR 97209
Phone number: 971-302-9764
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Mailing Address
TIFFANY ROSE CAMPBELL QMHA-R
328 NW BROADWAY APT 117
PORTLAND, OR 97209-3528
Phone number: 602-361-0209
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