Individual
MRS. KATIE MEGAN TIERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SLP-CFY
Contact information
Practice address
650 SE OAK ST, HILLSBORO, OR 97123-4120
(503) 648-8588
Mailing address
10241 SE 46TH AVE, MILWAUKIE, OR 97222-5208
(502) 541-4090
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13075
OR
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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