Individual
DR. DORIA KEESLING THIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, ARNP, CNM
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(406) 210-4890
Mailing address
937 NW 31ST ST, CORVALLIS, OR 97330-4445
(406) 210-4890
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
201350126NP
OR
Other
Enumeration date
10/17/2006
Last updated
03/08/2014
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