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1811487465
THOMAS EDWARD ETTELSON
TIGARD, OR
NPI
1811487465
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-05-18
Last Update Date
2018-05-18
Business Address
THOMAS EDWARD ETTELSON
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3740
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Mailing Address
THOMAS EDWARD ETTELSON
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
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