CATHY JEAN TIDLAND

PORTLAND, OR
NPI1700091428
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies372600000X Adult Companion
Enumeration Date2007-05-14
Last Update Date2008-04-09
Business Address
-- CATHY JEAN TIDLAND
2330 NE SISKIYOU ST
PORTLAND, OR 97212-2471
Phone number: 503-528-0757
Mailing Address
-- CATHY JEAN TIDLAND
2330 NE SISKIYOU ST
PORTLAND, OR 97212-2471
Phone number: 503-528-0757