Individual provider · Type 1 NPI

Tanya Marie Jeannette Merrill

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1699627463 Active

Practice location

211 NE 18th Ave
Portland, OR 97232-2822

Mailing address

6839 SW 192nd Ave
Beaverton, OR 97007-5546

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 1699627463

Tanya Marie Jeannette Merrill's National Provider Identifier is 1699627463, issued on Feb 12, 2026. 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 Feb 12, 2026.