Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tanya L Black, CRM/PSS

Individual provider Peer Specialist · NPI 1801242730

Tanya L Black, CRM/PSS is a Peer Specialist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016
Specialties on file
2

Practice location Address checks out

1438 SE Division St
Portland, OR 97202-1140
Phone: (971) 261-0544
Fax: (971) 245-3043
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 16-CRM-033 (OR)
Peer Specialist Taxonomy 175T00000X · Licence THW000001319 (OR)

Record details

NPI number1801242730
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRM/PSS
Sole proprietorNo
NPI enumeratedMay 10, 2016
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025

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