SearchOregon101YA0400X

Tessa Fowler, CADC-R

NPI 1295467850 · on the registry since 2022

Practice

Address
2318 Ne Mlk Jr Blvd
Portland, OR 97212
Phone
(503) 802-0299
Clinicians at this address
17

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YM0800X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon