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1396006060
LEE TISZENKEL
TIGARD, OR
NPI
1396006060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-05-30
Last Update Date
2012-05-30
Business Address
-- LEE TISZENKEL
10313 SW 69TH AVE
TIGARD, OR 97223-9103
Phone number: 503-726-3740
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Mailing Address
-- LEE TISZENKEL
3323 SE ALDER ST
PORTLAND, OR 97214-3121
Phone number: 516-457-8716
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