MRS. MISTY TANNER, M.S.W.

Counselor

Active Individual
NPI: 1689700916

Practice Address

3720 SW 141ST AVE
#204
Beaverton, OR 97005

Phone: (503) 942-1475

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1689700916 is the National Provider Identifier for MRS. MISTY TANNER, M.S.W., a Counselor provider located in Beaverton, OR. This NPI was enumerated on February 23, 2007.
MRS. MISTY TANNER, M.S.W. practices at 3720 SW 141ST AVE, #204, Beaverton, OR 97005.

Quick Facts

NPI
1689700916
Type
Individual
Enumerated
Feb 23, 2007
Last Updated
Jul 8, 2007

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