TIGIST FANTAYE

Mental Health Counselor

NPI: 1689209504Individual

Specialties, Licenses & Credentials

Registered Nurse

Registered Nurse

Code: 163W00000X

201906814RN(OR)

Mental Health CounselorPrimary

Counselor — Mental Health

Code: 101YM0800X

Contact & Hours

Address: 4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Phone: (503) 238-0705

Quick Facts

NPI: 1689209504
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 2
Locations: 1

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