Telia Nicole Anderson NON CREDENTIAL

NPI 1952440364 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1952440364
Gender Female
Enumeration Date 02/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2130 SW 5TH AVE
210
PORTLAND OR, 97201-4976, US
Phone (503) 238-0769
Fax (503) 963-7711
Business Location
4702 SW SLAVIN RD
APT#16
PORTLAND OR, 97239-2873, US
Phone (503) 224-4171
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Telia Nicole Anderson NON CREDENTIAL NPI is 1952440364, taxonomy code is 171M00000X Telia Nicole Anderson NON CREDENTIAL physically located at 2130 Sw 5th Ave, Portland OR, 97201-4976. NPI Number Telia Nicole Anderson NON CREDENTIAL has the Individual type.

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1952440364 NPI number is provided on an as is basis without warranty of any kind. 1952440364 is maintained by the National Plan & Provider Enumeration System. The contents of Telia Nicole Anderson NON CREDENTIAL are for informational purposes only.