Individual
TATIANA LYN POZNEKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC 1
Contact information
Practice address
10362 SW MCDONALD ST, TIGARD, OR 97224-4863
(503) 624-0312
(503) 639-3973
Mailing address
2830 SW 153RD DR, BEAVERTON, OR 97003-5123
(503) 886-9797
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
171018
OR
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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