TRAVIS R TIEDE

CLACKAMAS, OR
NPI1962269332
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  10016365)
Enumeration Date2024-03-04
Last Update Date2024-03-04
Business Address
TRAVIS R TIEDE APRN
12360 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9320
Phone number: 503-303-4000
Mailing Address
TRAVIS R TIEDE APRN
11827 SE WHITE TAIL DR
HAPPY VALLEY, OR 97086-4722
Phone number: 612-703-5277
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