Individual provider · Type 1 NPI

Tanya L. Black, CRM/PSS

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1801242730 Active

Practice location

1438 SE Division St
Portland, OR 97202-1140

Call (971) 261-0544 Map

Fax (971) 245-3043

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XTHW000001319 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16-CRM-033 (OR)

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

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About NPI 1801242730

Tanya L. Black, CRM/PSS's National Provider Identifier is 1801242730, issued on May 10, 2016. 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 Oct 23, 2025.