Individual
OLIVIA TENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1219 SE LAFAYETTE ST STE 100, PORTLAND, OR 97202-3802
(503) 765-5733
Mailing address
48 EAGLE CREST DR APT 1C, LAKE OSWEGO, OR 97035-1064
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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