MIKE TIERNEY

PORTLAND, OR
NPI1659735165
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  14-03-33)
Enumeration Date2016-04-11
Last Update Date2023-11-02
Business Address
MIKE TIERNEY CADC II
3580 SE 82ND AVE
PORTLAND, OR 97266-2902
Phone number: 971-339-9240
Mailing Address
MIKE TIERNEY CADC II
324 NW DAVIS STREET
PORTLAND, OR 97209-9720
Phone number:
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