Individual
TAUNYA D DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRGM, CRM, PWS
Contact information
Practice address
10209 SE DIVISION ST, PORTLAND, OR 97266-1372
(971) 420-9139
Mailing address
10209 SE DIVISION ST # C, PORTLAND, OR 97266-1372
(971) 420-9139
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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