Most Relevant Information
Provider Data
NPI Number: | 1003076860 |
Provider Name: | KATIE MEGAN TIERNEY MS SLP-CFY |
Entity Type: | Individual |
Taxonomy Code: | 235Z00000X |
Specialty: | Speech-Language Pathologist |
License Number: | 13075 |
Most Important Dates
Enumeration Date: | 06/13/2008 |
Last Updated: | 06/13/2008 |
Provider Practice Location
650 SE OAK ST
HILLSBORO
OR
971234120
Practice Location Phone/Fax
Phone: | 5036488588 |
Fax: |
Provider Mailing Location
10241 SE 46TH AVE
MILWAUKIE
OR
972225208
Provider Mailing Phone/Fax
Phone: | 5025414090 |
Fax: |