Individual
BETTINA TAMICE PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 435-1918
(503) 472-9018
Mailing address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 435-1918
(503) 472-9018
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AW05559B
—
OR
Enumeration date
08/28/2017
Last updated
10/11/2022
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