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1871287482
PHILLIP BRANDON TESNER
PORTLAND, OR
NPI
1871287482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-06-06
Last Update Date
2023-06-06
Business Address
PHILLIP BRANDON TESNER CADC-R
1535 N WILLIAMS AVE
PORTLAND, OR 97227-1885
Phone number: 503-238-2067
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Mailing Address
PHILLIP BRANDON TESNER CADC-R
2425 E BURNSIDE ST
PORTLAND, OR 97214-1751
Phone number: 503-729-5236
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