Individual
TIA AMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
816 SE 15TH ST, PENDLETON, OR 97801-3254
(541) 276-5433
Mailing address
PO BOX 1325, PENDLETON, OR 97801-0260
(541) 276-5433
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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