Individual
KARLIE IREENE TOMBAUGH DINGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N/A
Contact information
Practice address
9115 SW OLESON RD, PORTLAND, OR 97223-6875
(707) 396-0853
Mailing address
9087 SW CEDARCREST ST, PORTLAND, OR 97223-6822
(707) 396-0853
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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