Individual
ERICA TELLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 SW CENTER ST, TIGARD, OR 97223
(503) 726-3690
Mailing address
915 SW CENTER ST., TIGARD, OR 97223-6307
(503) 726-3690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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