Organization
TIERRA FIRMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY BERDINE PSYD (PRESIDENT)
(971) 227-2063
Entity
Organization
Contact information
Practice address
174 COMMERCIAL ST, ASTORIA, OR 97103-4333
(971) 227-2063
(503) 325-2821
Mailing address
2841 NE 21ST AVE, PORTLAND, OR 97212-3408
(971) 227-2063
(503) 325-2821
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2275
OR
Other
Enumeration date
05/19/2015
Last updated
05/20/2015
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