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1780210914
CARRIE TIERNEY
PORTLAND, OR
NPI
1780210914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: OR 201391692RN)
Enumeration Date
2020-03-19
Last Update Date
2020-03-19
Business Address
CARRIE TIERNEY
324 NW DAVIS ST
PORTLAND, OR 97209-3925
Phone number: 503-226-2203
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Mailing Address
CARRIE TIERNEY
324 NW DAVIS ST
PORTLAND, OR 97209-3925
Phone number:
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