THOMAS EDWARD ETTELSON

TIGARD, OR
NPI1811487465
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-05-18
Last Update Date2018-05-18
Business Address
THOMAS EDWARD ETTELSON
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3740
Mailing Address
THOMAS EDWARD ETTELSON
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
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