MIKAYLA SHYANNE LONG

TIGARD, OR
NPI1104419027
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-02-11
Last Update Date2021-02-11
Business Address
MIKAYLA SHYANNE LONG
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
Mailing Address
MIKAYLA SHYANNE LONG
8691 NE TRAILWALK DR APT B304
BEAVERTON, OR 97006-4954
Phone number:
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