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1790314979
AMANDA CATHERINE TEP
PORTLAND, OR
NPI
1790314979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR PG210936)
Enumeration Date
2020-04-08
Last Update Date
2022-07-18
Business Address
AMANDA CATHERINE TEP DO
9205 SW BARNES RD STE MT2800
PORTLAND, OR 97225-6603
Phone number: 503-216-2621
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Mailing Address
AMANDA CATHERINE TEP DO
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number:
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