Individual provider · Type 1 NPI

Tetsu Jonathan Tanaka

Counselor · Portland, OR

NPI number 1710189618 Active

Practice location

3415 SE Powell Blvd
Portland, OR 97202-3371

Call (503) 234-9591 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1710189618

Tetsu Jonathan Tanaka's National Provider Identifier is 1710189618, issued on Jun 3, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.