Individual
MIKE TASSINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8940 SE 72ND AVE, PORTLAND, OR 97206-9417
(503) 777-6317
Mailing address
PO BOX 647, CLACKAMAS, OR 97015-0647
(503) 234-8758
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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