Individual
MS. TINA MARIE STROMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2415 SE 43RD AVE STE 200, PORTLAND, OR 97206-1671
(503) 230-9654
(503) 239-5953
Mailing address
7314 N FISKE AVE, PORTLAND, OR 97203-4518
(503) 230-9654
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/29/2007
Last updated
10/12/2007
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