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1912138793
TRAVIS A TARPO
CLACKAMAS, OR
NPI
1912138793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2009-07-28
Last Update Date
2009-07-28
Business Address
TRAVIS A TARPO
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-313-6000
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Mailing Address
TRAVIS A TARPO
9298 SE NORTHPOINT CT
HAPPY VALLEY, OR 97086-6484
Phone number: 503-313-6000
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