Individual provider · Type 1 NPI
Tawnya Shope, CADC II, QMHA-R
Addiction (Substance Use Disorder) Counselor · Wilsonville, OR
NPI number
1093223950
Active
Practice location
34499 SW Grahams Ferry Rd
Wilsonville, OR 97070
Fax (503) 570-6522
Mailing address
PO Box 8459
Portland, OR 97207-8459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1093223950
Tawnya Shope, CADC II, QMHA-R's National Provider Identifier is 1093223950, issued on Jan 12, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wilsonville, OR. The record was last updated on Nov 30, 2021.