Individual provider · Type 1 NPI

Mitchell Tyler Bacon

Marriage & Family Therapist · Portland, OR

NPI number 1083967442 Active

Practice location

3550 N Interstate Ave
Portland, OR 97227-1196

Call (800) 813-2000 Map

Mailing address

7454 N Monteith Ave
Portland, OR 97203-4265

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XLF60724149 (WA)
Marriage & Family Therapist Primary 106H00000XT1282 (OR)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

235 other providers at this address

Other marriage & family therapist providers in Portland

See all in Portland →

About NPI 1083967442

Mitchell Tyler Bacon's National Provider Identifier is 1083967442, issued on Oct 23, 2012. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Portland, OR. The record was last updated on Dec 21, 2021.