Tyschal Blake
NPI 1427779016 · on the registry since 2022
Practice
- Address
- 1904 Se Division St
Portland, OR 97202 - Phone
- (503) 517-8663
- Organisation at this address
- Sarah Roff
Catholic Community Services Of Western WashingtonInferred from a shared address, not stated in the registry. - Clinicians at this address
- 227
Additional practice sites
- 5847 Ne 122nd Ave Ste 200, Portland, OR
- 1200 Concord Ave Ste 100, Concord, CA
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Also registered as
- Behavior Technician
- Sex
- Female
- Record last updated
- 2023-09-18
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