Individual
CHELSEA R TIESZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
17727 E BURNSIDE ST, PORTLAND, OR 97233-4803
(503) 215-9800
Mailing address
17727 E BURNSIDE ST, PORTLAND, OR 97233-4803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD182564
OR
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD182564
OR
Other
Enumeration date
03/30/2013
Last updated
10/25/2024
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