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1922559038
CRYSTAL TENTY
PORTLAND, OR
NPI
1922559038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-10-24
Last Update Date
2016-10-24
Business Address
-- CRYSTAL TENTY
1030 NE COUCH ST
PORTLAND, OR 97232-3067
Phone number: 503-239-8400
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Mailing Address
-- CRYSTAL TENTY
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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