| Tierra Firma Llc | |
|
174 Commercial St Astoria OR 97103-4333 | |
| (971) 227-2063 | |
| (503) 325-2821 |
| Full Name | Tierra Firma Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 174 Commercial St, Astoria, Oregon |
| Authorized Official Name and Position | Ruby Berdine (PRESIDENT) |
| Authorized Official Contact | 9712272063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tierra Firma Llc 2841 Ne 21st Ave Portland OR 97212-3408 Ph: (971) 227-2063 | Tierra Firma Llc 174 Commercial St Astoria OR 97103-4333 Ph: (971) 227-2063 |
| NPI Number | 1275912503 |
|---|---|
| Provider Enumeration Date | 05/19/2015 |
| Last Update Date | 05/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275912503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2275 (Oregon) | Primary |
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