Individual provider · Type 1 NPI

Tanis Vail Hayden

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1346776556 Active

Practice location

2600 SE Belmont St
Portland, OR 97214-2916

Mailing address

2600 SE Belmont
Portland, OR 97214

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1346776556

Tanis Vail Hayden's National Provider Identifier is 1346776556, issued on May 8, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on May 8, 2017.