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HEALTH LICENSING OFFICE 1430 Tandem Ave. NE Suite 180 Salem OR 97301-2192 Phone 503-378-8667 Fax 503-370-9004 www. If you have existing documentation of your accommodation needs you may submit such documentation instead of completing the next page of this form. Please include all information to support your accommodation request. Requests for accommodation must be received prior to the preferred examination date. The applicant has discussed with me the nature of the test to be administered....

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1. Start by gathering all the necessary documents required for filling out the address form.
2. Ensure you have the complete address details of 1430 Tandem Ave, including the city, state, and zip code.
3. Begin filling out the form by writing '1430' in the street number field.
4. Enter 'Tandem Ave' in the street name field.
5. Provide any additional apartment or unit number, if applicable.
6. Include the city name '_____' in the city field.
7. Write the corresponding state abbreviation (e.g., CA for California) in the state field.
8. Enter the zip code '_____' in the designated field.
9. Double-check all the provided information for accuracy before submitting the form.

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What is 1430 tandem ave?

1430 Tandem Ave. is an address located in a specific location.

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The entity or individual responsible for the property located at 1430 Tandem Ave may be required to file any necessary documents related to that property.

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