Individual provider · Type 1 NPI

Thomas Edward Ettelson

Mental Health Counselor · Tigard, OR

NPI number 1811487465 Active

Practice location

8915 SW Center St
Tigard, OR 97223-6307

Call (503) 726-3740 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1811487465

Thomas Edward Ettelson's National Provider Identifier is 1811487465, issued on May 18, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on May 18, 2018.