Individual
TAHLIA RACHEL HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MFTA, LMT
Contact information
Practice address
15655 NW PERIMETER DR, BEAVERTON, OR 97006-5323
(503) 867-5107
Mailing address
2850 SW CEDAR HILLS BLVD # 1067, BEAVERTON, OR 97005-1354
(503) 867-5107
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
225700000X
Massage Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/13/2019
Last updated
01/22/2022
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