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1508145020
ANGELA TANNER
PORTLAND, OR
NPI
1508145020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-08-15
Last Update Date
2011-08-15
Business Address
-- ANGELA TANNER
506 SW 6TH AVE SUITE 905
PORTLAND, OR 97204-1533
Phone number: 503-223-5525
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Mailing Address
-- ANGELA TANNER
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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