SearchOregon101YA0400X

Mike Tierney, CADC II

NPI 1659735165 · on the registry since 2016

Practice

Address
3580 Se 82nd Ave
Portland, OR 97266
Phone
(971) 339-9240
Clinicians at this address
26

Additional practice sites

  • 324 Nw Davis Street, Portland, OR

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-02

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