Tucker, Wanda

Tucker, Wanda is an sole proprietor health care provider with primary practice located at 11290 Sw 95Th Ave , Tigard OR 97223-5362. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Tucker, Wanda can be contacted via phone (503) 293-0888.

Contact Information

Primary practice address
11290 Sw 95Th Ave Tigard OR 97223-5362
Phone: (503) 293-0888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC 0857 Oregon

Profile Details

NPI number 1982926283
LBN Legal business name Tucker, Wanda
Credentials MA, LPC, LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2010
Last updated Sep 7th, 2021 - about 3 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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