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1427418797
TARA GONZALES
PORTLAND, OR
NPI
1427418797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-03-01
Last Update Date
2016-03-01
Business Address
TARA GONZALES
17710 NE HALSEY ST
PORTLAND, OR 97230-6734
Phone number: 503-328-8311
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Mailing Address
TARA GONZALES
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 360-936-5548
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