TYE SOUTHERN

HILLSBORO, OR
NPI1821164989
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: OR  000029973RN)
Enumeration Date2006-11-28
Last Update Date2007-07-08
Business Address
-- TYE SOUTHERN RN
2455 SE LARKSPUR CT
HILLSBORO, OR 97123-8332
Phone number: 503-648-7148
Mailing Address
-- TYE SOUTHERN RN
2455 SE LARKSPUR CT
HILLSBORO, OR 97123-8332
Phone number: 503-648-7148