Individual provider · Type 1 NPI

Tiernan Ley

Mental Health Counselor · Portland, OR

NPI number 1962082107 Active

Practice location

8041 E Burnside St
Portland, OR 97215-1548

Fax (503) 254-6396

Mailing address

1027 E Burnside St
Portland, OR 97214-1328

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1962082107

Tiernan Ley's National Provider Identifier is 1962082107, issued on Apr 12, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on May 2, 2024.