Mychal Quinte Tillery
Mychal Quinte Tillery is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
9320 SW Barbur Blvd Ste 200Portland, OR 97219-5499
Phone: (503) 222-9661
Fax: (503) 224-5960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1518558428 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 2, 2021 |
| Last updated in NPPES | February 2, 2021 |
| Certification date | February 2, 2021 |
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