Individual
MS. ELEX DYAR TENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 331-6449
(503) 331-6445
Mailing address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 331-6449
(503) 331-6445
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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