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1376066597
TYSON PENDERY
PORTLAND, OR
NPI
1376066597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-07-19
Last Update Date
2017-07-19
Business Address
TYSON PENDERY
12505 SE RAYMOND ST
PORTLAND, OR 97236-3931
Phone number: 503-760-8300
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Mailing Address
TYSON PENDERY
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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