SearchOregon103TC0700X

Paige Tiedeman, TLLP

NPI 1992339253 · on the registry since 2020 · sole proprietor

Practice

Address
1411 Sw Morrison St Ste 310
Portland, OR 97205
Phone
(503) 352-2400
Organisation at this address
Pacific University
Pacific University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
154

Additional practice sites

  • 595 Forest Ave, Plymouth, MI

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
103T00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon