MEDICARE: TAWNY LOUISE TOWNSEND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1821435256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAWNY LOUISE TOWNSEND

Provider Business Mailing Address
First Line	:	2714 SW BEAVERTON HILLSDALE HWY
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97239-1134
Country	:	US
Telephone Number	:	360-433-7125
Fax Number	:

Provider Business Practice Location Address
First Line	:	2714 SW BEAVERTON HILLSDALE HWY
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97239
Country	:	US
Telephone Number	:	360-433-7125
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2013
Last Update Date	:	05/05/2015

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Directions to “ TAWNY LOUISE TOWNSEND ” Practice Location

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