Individual
MISS TONI LYNN OBERDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5327 NE COLUMBIA BLVD, #A, PORTLAND, OR 97218-1247
(503) 310-0599
Mailing address
5327 NE COLUMBIA BLVD, #A, PORTLAND, OR 97218-1247
(503) 310-0599
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
373112B
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17
KAISER PERMANENTE
OR
Enumeration date
12/20/2012
Last updated
12/20/2012
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