Individual provider · Type 1 NPI

Tyrone Wayne Waters, PEER ADVOCATE LEAD

Mental Health Counselor · Portland, OR

NPI number 1154526846 Active

Practice location

2034 SE 6th Ave
Portland, OR 97214-4510

Call (503) 238-6801 Map

Mailing address

101 N Morris St, #315
Portland, OR 97227-1572

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1154526846

Tyrone Wayne Waters, PEER ADVOCATE LEAD's National Provider Identifier is 1154526846, issued on Jun 20, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 13, 2007.