TISIEN WAWANI PALACIO
NPI 1548820087
Counselor - Mental Health in Portland, OR
Active since June 17, 2019
About Tisien Wawani Palacio NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TISIEN WAWANI PALACIO (NPI 1548820087) is an individual mental health provider in Portland, Oregon and active in the NPI registry since June 2019.
NPPES Registry Identity
NPI1548820087
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTISIEN WAWANI PALACIO
Location Address1508 SW 13TH AVEPortland, OR 97201-3312
Mailing Address5000 N Willamette Blvd Rm 201Portland, OR 97203-5743 · (916) 580-4687
Phone(503) 726-3690
Sole ProprietorNo
Enumeration DateJune 17, 2019
✔ NPI 1548820087 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1508 SW 13TH AVE, Portland, OR 97201
Other Providers at the Same Location NPPES 13
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 1548820087, enumerated as an "individual" on June 17, 2019.
The provider is located at 1508 SW 13TH AVE PORTLAND, OR 97201 and the phone number is (503) 726-3690.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
