Individual
TINA MICHELE WOOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5415 SW WESTGATE DR, PORTLAND, OR 97221
(503) 645-3581
Mailing address
8110 SW 135TH AVE, BEAVERTON, OR 97008-6298
(503) 810-1810
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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