Tierra Firma Llc

NPI 1275912503 - Psychologist - 103TC0700X

NPI Details
NPI 1275912503
Enumeration Date 05/19/2015
Last Updated 05/20/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name RUBY RUBY
Position PRESIDENT
Phone (971) 227-2063
Fax (503) 325-2821
Practice Location
174 COMMERCIAL ST
ASTORIA OR, 97103-4333, US
Phone (971) 227-2063
Fax (503) 325-2821
Business Location
2841 NE 21ST AVE
PORTLAND OR, 97212-3408, US
Phone (971) 227-2063
Fax (503) 325-2821
Toxanomy
Taxonomy Code 103TC0700X
License State Oregon
License Number 2275
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According to our database, Tierra Firma Llc NPI is 1275912503, taxonomy code is 103TC0700X and license number is 2275, license state is located at Oregon. Tierra Firma Llc physically located at 174 Commercial St, Astoria OR, 97103-4333. NPI Number 1033115704 has the healthcare provider type.

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1275912503 NPI number is provided on an as is basis without warranty of any kind. 1275912503 is maintained by the National Plan & Provider Enumeration System. The contents of Tierra Firma Llc are for informational purposes only.