Provider Information for 1053592097
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YASUYO TSUNEMINE LCSW
Sex: Female
NPI: 1053592097
Last Updated: 2024-08-09
Certification Date: 2024-08-08
Certification Date: 2024-08-08
Details
| Name | Value | ||||||||||||||||
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| NPI | 1053592097 | ||||||||||||||||
| Enumeration Date | 2007-11-19 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 9601 NW LEAHY RD APT 310 PORTLAND, OR 97229-6385 United States Phone: 971-732-3307 | Fax: | ||||||||||||||||
| Primary Practice Address | 9601 NW LEAHY RD APT 310 PORTLAND, OR 97229-6385 United States Phone: 971-732-3307 | Fax: | ||||||||||||||||
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