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1407477896
TABATHA L COTTIS
PORTLAND, OR
NPI
1407477896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-04-27
Last Update Date
2020-04-27
Business Address
TABATHA L COTTIS
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 503-239-5738
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Mailing Address
TABATHA L COTTIS
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 503-239-5738
Copy
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