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1558702647
TY ROBERSON
PORTLAND, OR
NPI
1558702647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-07-17
Last Update Date
2013-07-17
Business Address
-- TY ROBERSON
33 NW BROADWAY
PORTLAND, OR 97209-3580
Phone number: 503-228-7134
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Mailing Address
-- TY ROBERSON
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number:
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