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Travis R Tiede, APRN
Psychiatric/Mental Health Nurse Practitioner in Clackamas, Oregon
NPI 1962269332

Travis R Tiede is a Psychiatric/Mental Health Nurse Practitioner based in Happy Valley, OR and is specialized in Psychiatric/Mental Health. Travis R Tiede practices in Clackamas, OR and has the professional credentials of APRN. The NPI Number for Travis R Tiede is 1962269332 and holds a License No. 10016365 (Oregon).

The current practice location address for Travis R Tiede is 12360 Se Sunnyside Rd, Clackamas, OR and can be reached out via phone at 503-303-4000.

Location: 12360 Se Sunnyside Rd, Clackamas, OR, 97086-4722
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962269332
Provider Name
Travis R Tiede
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
12360 Se Sunnyside Rd, Clackamas, OR, 97086-4722
Phone Number
503-303-4000
Fax Number
Provider Enumeration Date
03/04/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
12360 Se Sunnyside Rd
City
Clackamas
State
Oregon
Zip
97015-9320
Phone Number
503-303-4000
Fax Number
person
Provider Business Mailing Address Details
Address
12360 Se Sunnyside Rd
City
Clackamas
State
Oregon
Zip
97015-9320
Phone Number
503-303-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
10016365 (Oregon)
Definition
Definition to come...
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