MARK DAVID TILSON

PORTLAND, OR
NPI1134345523
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103G00000X Clinical Neuropsychologist
(Licence: OR  826)
Additional Taxonomies103TC0700X Psychologist Clinical
(Licence: OR  826)
103TR0400X Psychologist Rehabilitation
(Licence: OR  826)
Enumeration Date2007-04-17
Last Update Date2007-07-09
Business Address
DR. MARK DAVID TILSON PH.D.
1015 NW 22ND AVE RIO - 5 EAST
PORTLAND, OR 97210-3025
Phone number: 503-413-7662
Mailing Address
DR. MARK DAVID TILSON PH.D.
1015 NW 22ND AVE RIO - 5 EAST
PORTLAND, OR 97210-3025
Phone number: 503-413-7662