Individual
DANIELLE ELISSE FORSTER TAMIESIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
4212 SE DIVISION ST, SUITE 100, PORTLAND, OR 97206-1628
(503) 238-0705
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/29/2014
Last updated
10/05/2015
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