Tanner, Misty

Tanner, Misty is an individual health care provider with primary practice located at 3720 Sw 141St Ave #204, Beaverton OR 97005-2382. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Tanner, Misty can be contacted via phone (503) 942-1475.

Contact Information

Primary practice address
3720 Sw 141St Ave #204 Beaverton OR 97005-2382
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1689700916
LBN Legal business name Tanner, Misty
Credentials M.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers