Individual provider · Type 1 NPI

Tisa Brown

Mental Health Counselor · Tigard, OR

NPI number 1104297167 Active

Practice location

8915 SW Center St.
Tigard, OR 97223

Call (503) 726-3740 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104297167

Tisa Brown's National Provider Identifier is 1104297167, issued on Oct 15, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on Oct 15, 2015.