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1659828184
CHERI TYNAN
PORTLAND, OR
NPI
1659828184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 175T00000X)
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
-- CHERI TYNAN
7934 S/E KNIGHT ST
PORTLAND, OR 97206-5859
Phone number: 971-832-0672
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Mailing Address
-- CHERI TYNAN
7934 SE KNIGHT ST
PORTLAND, OR 97206-5859
Phone number: 971-832-0672
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