| NPI | 1043802937 |
|---|---|
| Doing Business As | TIA SILVER LAKE |
| Entity Type | Organization |
| Authorized Contact | CHANAH SHELDON Payer Relations Manager 503-887-5519 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2023-03-24 |