IndividualActive
Phoenix Black
NPI 1821749904 · Mental Health Counselor · Tigard, OR
Provider details
- NPI number
- 1821749904
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
8915 Sw Center St
Tigard, OR 97223-6307
Phone: (503) 726-3740
Approximate (ZIP-level) locationGet directions
Mailing address
8915 Sw Center St
Tigard, OR 97223-6307
Registry dates
- Enumerated
- 2022-01-11
- Last updated
- 2022-01-11
- Certified
- 2022-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.