Individual
MS. CHRISTIANA MALINI TUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3615 NE GRAND AVE, PORTLAND, OR 97212-2104
(503) 281-1166
Mailing address
16308 NE SAN RAFAEL DR, PORTLAND, OR 97230-5659
(323) 445-9210
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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