TYRONE RUCKER

PORTLAND, OR
NPI1518380351
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: OR  3764318)
Enumeration Date2014-01-30
Last Update Date2014-01-30
Business Address
Mr. TYRONE RUCKER
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1151
Mailing Address
Mr. TYRONE RUCKER
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1151
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