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1720596844
TATIANA LYN POZNEKOFF
TIGARD, OR
NPI
1720596844
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 171018)
Enumeration Date
2018-01-11
Last Update Date
2018-01-11
Business Address
TATIANA LYN POZNEKOFF CADC 1
10362 SW MCDONALD ST
TIGARD, OR 97224-4863
Phone number: 503-624-0312
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Mailing Address
TATIANA LYN POZNEKOFF CADC 1
2830 SW 153RD DR
BEAVERTON, OR 97003-5123
Phone number: 503-886-9797
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