TANIS VAIL HAYDEN

PORTLAND, OR
NPI1346776556
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-05-08
Last Update Date2017-05-08
Business Address
Mrs. TANIS VAIL HAYDEN
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 971-300-1815
Mailing Address
Mrs. TANIS VAIL HAYDEN
2600 SE BELMONT
PORTLAND, OR 97214
Phone number: 971-300-1815