Individual
DR. TISH AMELIA STOEBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
2220 SW 1ST AVE, PORTLAND, OR 97201-5003
(503) 320-5760
Mailing address
2220 SW 1ST AVE, PORTLAND, OR 97201-5003
(503) 320-5760
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1146
OR
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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