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Marita Tiller, LPC
Mental Health Counselor in Tigard, Oregon
NPI 1174846869

Marita Tiller is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Marita Tiller practices in Tigard, OR and has the professional credentials of LPC. The NPI Number for Marita Tiller is 1174846869 and holds a License No. C3380 (Oregon).

The current practice location address for Marita Tiller is 9600 Sw Oak St Ste 500, Tigard, OR and can be reached out via phone at 971-364-8069. You can also correspond with Marita Tiller through the mailing address at PO BOX 82819, PORTLAND, OR - 97282-0819 (mailing address contact number: ).

Location: 9600 Sw Oak St Ste 500, Tigard, OR, 97282-0819
person
Provider Profile Details
NPI Number
1174846869
Provider Name
Marita Tiller
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
9600 Sw Oak St Ste 500, Tigard, OR, 97282-0819
Phone Number
971-364-8069
Fax Number
Provider Enumeration Date
03/09/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000WDBCH 01 OR GROUP MEDICARE
164936 05 OR
institution
Provider Business Practice Location Address Details
Address
9600 Sw Oak St Ste 500
City
State
Zip
97223-6597
Phone Number
971-364-8069
Fax Number
person
Provider Business Mailing Address Details
Address
9600 Sw Oak St Ste 500
City
State
Zip
97223-6597
Phone Number
971-364-8069
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C3380 (Oregon)
Definition
Definition to come...
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