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1134575715
TIA HUMMEL
PORTLAND, OR
NPI
1134575715
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
222Q00000X Developmental Therapist
Enumeration Date
2016-05-12
Last Update Date
2018-12-05
Business Address
TIA HUMMEL
11035 NE SANDY BLVD
PORTLAND, OR 97220-2553
Phone number: 503-258-4200
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Mailing Address
TIA HUMMEL
11035 NE SANDY BLVD
PORTLAND, OR 97220-2553
Phone number: 503-258-4200
Copy
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