SALLIE TISDALE

PORTLAND, OR
NPI1740530070
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: OR  083037585)
Enumeration Date2012-09-13
Last Update Date2012-09-13
Business Address
SALLIE TISDALE RN
4531 SE BELMONT ST
PORTLAND, OR 97215-1675
Phone number: 503-519-2633
Mailing Address
SALLIE TISDALE RN
4205 NE DAVIS ST
PORTLAND, OR 97213-1631
Phone number: 503-519-2633