MR. TYRONE WAYNE WATERS PEER ADVOCATE LEAD
NPI 1154526846
Counselor - Mental Health in Portland, OR
Active since June 20, 2007
About Mr. Tyrone Wayne Waters Peer Advocate Lead NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TYRONE WAYNE WATERS PEER ADVOCATE LEAD (NPI 1154526846) is an individual mental health provider in Portland, Oregon and active in the NPI registry since June 2007.
NPPES Registry Identity
NPI1154526846
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. TYRONE WAYNE WATERSCredential: PEER ADVOCATE LEAD
Location Address2034 SE 6TH AVEPortland, OR 97214-4510
Mailing Address101 N Morris St, #315Portland, OR 97227-1572 · (503) 238-6801
Phone(503) 238-6801
Sole ProprietorNo
Enumeration DateJune 20, 2007
Last NPPES UpdateJuly 13, 2007
✔ NPI 1154526846 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2034 SE 6TH AVE, Portland, OR 97214
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154526846, enumerated as an "individual" on June 20, 2007.
The provider is located at 2034 SE 6TH AVE PORTLAND, OR 97214 and the phone number is (503) 238-6801.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
