Individual
TIA S NADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1511 DIVISION ST STE 101, OREGON CITY, OR 97045-1589
(503) 722-3705
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
202001783RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10015928
OR
Other
Enumeration date
07/21/2020
Last updated
04/19/2024
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