Individual
ANGIE TANYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7409 SW CAPITOL HWY STE 205A, PORTLAND, OR 97219-2432
(503) 200-0661
Mailing address
7322 SW 27TH AVE, PORTLAND, OR 97219-2511
(503) 200-0661
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/01/2017
Last updated
06/16/2018
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