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1689700916
MISTY TANNER
BEAVERTON, OR
NPI
1689700916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-02-23
Last Update Date
2007-07-08
Business Address
MRS. MISTY TANNER M.S.W.
3720 SW 141ST AVE #204
BEAVERTON, OR 97005-2382
Phone number: 503-942-1475
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Mailing Address
MRS. MISTY TANNER M.S.W.
7500 SW SCHOLLS FERRY RD APT A3
BEAVERTON, OR 97008-6573
Phone number: 503-641-8641
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