Individual
MS. BARBARA MARIE THIERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.C.A.
Contact information
Practice address
6230 NE HALSEY ST, PORTLAND, OR 97213-4718
(503) 236-8697
(503) 236-1525
Mailing address
6230 NE HALSEY ST, PORTLAND, OR 97213-4718
(503) 236-8697
(503) 236-1525
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
302122
OR
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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