Individual
CYNTHIA TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, V3CRS, PORTLAND, OR 97239-2694
(360) 696-4061
Mailing address
3710 SW US VETERANS HOSPITAL RD, V3CRS, PORTLAND, OR 97239-2694
(360) 696-4061
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
A4452
OR
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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