TAMARA LYN MAMETIEFF

PORTLAND, OR
NPI1750747242
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-01-13
Last Update Date2016-01-13
Business Address
-- TAMARA LYN MAMETIEFF
3415 SE POWELL BLVD.
PORTLAND, OR 97202
Phone number: 503-234-9591
Mailing Address
-- TAMARA LYN MAMETIEFF
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5909
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