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1376276121
ANDREA ELIZABETH BENACH
TIGARD, OR
NPI
1376276121
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Former Name
ANDREA ELIZABETH CARLSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C3909)
Enumeration Date
2022-07-07
Last Update Date
2024-08-23
Business Address
ANDREA ELIZABETH BENACH
9900 SW GREENBURG RD STE 235
TIGARD, OR 97223-5473
Phone number: 503-308-8016
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Mailing Address
ANDREA ELIZABETH BENACH
9900 SW GREENBURG RD STE 235
TIGARD, OR 97223-5473
Phone number: 503-308-8016
Copy
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