TESS SIVAK

PORTLAND, OR
NPI1457838567
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: OR  201805320RN)
Enumeration Date2018-07-20
Last Update Date2018-07-20
Business Address
TESS SIVAK
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1151
Mailing Address
TESS SIVAK
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number:
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