Individual
MS. CANDICE ROSE THIESSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1715 SE 32ND PL, PORTLAND, OR 97214-5016
(503) 777-2929
Mailing address
1715 SE 32ND PL, PORTLAND, OR 97214-5016
(503) 777-2929
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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