Individual provider · Type 1 NPI

David Tinman Edgar, LCSW

Mental Health Counselor · Portland, OR

NPI number 1174322697 Active

Practice location

7011 SE 44th Ave
Portland, OR 97206-7700

Call (503) 544-7773 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X23-02-20248 (OR)
Mental Health Counselor Primary 101YM0800XL11134 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1174322697

David Tinman Edgar, LCSW's National Provider Identifier is 1174322697, issued on Mar 8, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Mar 8, 2025.