Individual
DR. BRYAN D THIEME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
10202 SE 32ND AVE STE 701, MILWAUKIE, OR 97222-3625
(503) 513-1410
Mailing address
10202 SE 32ND AVE, MILWAUKIE, OR 97222-3610
(503) 513-1410
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2793
OR
Other
Enumeration date
07/10/2008
Last updated
03/25/2021
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