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1841685039
THERESA TARDIFF
PORTLAND, OR
NPI
1841685039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2015-04-03
Last Update Date
2015-04-03
Business Address
-- THERESA TARDIFF
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-646-5687
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Mailing Address
-- THERESA TARDIFF
13240 E BURNSIDE ST
PORTLAND, OR 97233-1537
Phone number: 503-646-5687
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