TATSU J ELIASON

PORTLAND, OR
NPI1811718620
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2024-10-23
Last Update Date2024-10-23
Business Address
TATSU J ELIASON
7511 SE HENRY ST
PORTLAND, OR 97206-6445
Phone number: 503-771-6061
Mailing Address
TATSU J ELIASON
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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