RYAN CHRISTIAN JENNINGS-TIDWELL

TROUTDALE, OR
NPI1417622069
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy253Z00000X In Home Supportive Care
(Licence: OR  854291)
Enumeration Date2021-08-14
Last Update Date2021-08-14
Business Address
RYAN CHRISTIAN JENNINGS-TIDWELL
1042 SE 30TH PL
TROUTDALE, OR 97060-9456
Phone number: 503-618-9668
Mailing Address
RYAN CHRISTIAN JENNINGS-TIDWELL
23633 SE GOLD RD
EAGLE CREEK, OR 97022-9790
Phone number: 503-719-1518
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