TYNAN BLACK

TIGARD, OR
NPI1912796939
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-05-05
Last Update Date2025-05-05
Business Address
TYNAN BLACK
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 360-975-1629
Mailing Address
TYNAN BLACK
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 360-975-1629
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