Individual
ASHLEY LISA THIESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, DNP
Contact information
Practice address
1000 3RD ST, TILLAMOOK, OR 97141-3430
(503) 842-4444
Mailing address
20700 SW KAWANDA CT, TUALATIN, OR 97062-9598
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201402956RN
OR
363L00000X
Nurse Practitioner
Primary
10015449
OR
Other
Enumeration date
08/24/2020
Last updated
06/07/2024
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