Individual
CHARLI BISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8285 SW NIMBUS AVE STE 148, BEAVERTON, OR 97008-6465
(503) 352-3260
(503) 352-3262
Mailing address
8285 SW NIMBUS AVE STE 148, BEAVERTON, OR 97008-6465
(503) 352-3260
(503) 352-3262
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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