Individual
TIERRA C SALMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5505 N MINNESOTA AVE, PORTLAND, OR 97217-4553
(503) 250-4973
Mailing address
5505 N MINNESOTA AVE, PORTLAND, OR 97217-4553
(503) 250-4973
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
112476
OR
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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