MISTY TANNER

BEAVERTON, OR
NPI1689700916
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2007-02-23
Last Update Date2007-07-08
Business Address
MRS. MISTY TANNER M.S.W.
3720 SW 141ST AVE #204
BEAVERTON, OR 97005-2382
Phone number: 503-942-1475
Mailing Address
MRS. MISTY TANNER M.S.W.
7500 SW SCHOLLS FERRY RD APT A3
BEAVERTON, OR 97008-6573
Phone number: 503-641-8641