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1700091428
CATHY JEAN TIDLAND
PORTLAND, OR
NPI
1700091428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
372600000X Adult Companion
Enumeration Date
2007-05-14
Last Update Date
2008-04-09
Business Address
-- CATHY JEAN TIDLAND
2330 NE SISKIYOU ST
PORTLAND, OR 97212-2471
Phone number: 503-528-0757
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Mailing Address
-- CATHY JEAN TIDLAND
2330 NE SISKIYOU ST
PORTLAND, OR 97212-2471
Phone number: 503-528-0757
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