Blake, Tyschal Lumbrea

Blake, Tyschal Lumbrea is an individual health care provider with primary practice located at 1904 Se Division St , Portland OR 97202-1146. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Blake, Tyschal Lumbrea can be contacted via phone (503) 517-8663.

Contact Information

Primary practice address
1904 Se Division St Portland OR 97202-1146
Phone: (503) 517-8663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1427779016
LBN Legal business name Blake, Tyschal Lumbrea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2022
Last updated Sep 18th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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