ANGELA TANNER

PORTLAND, OR
NPI1508145020
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-08-15
Last Update Date2011-08-15
Business Address
-- ANGELA TANNER
506 SW 6TH AVE SUITE 905
PORTLAND, OR 97204-1533
Phone number: 503-223-5525
Mailing Address
-- ANGELA TANNER
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581