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1740530070
SALLIE TISDALE
PORTLAND, OR
NPI
1740530070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 083037585)
Enumeration Date
2012-09-13
Last Update Date
2012-09-13
Business Address
SALLIE TISDALE RN
4531 SE BELMONT ST
PORTLAND, OR 97215-1675
Phone number: 503-519-2633
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Mailing Address
SALLIE TISDALE RN
4205 NE DAVIS ST
PORTLAND, OR 97213-1631
Phone number: 503-519-2633
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