Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JON R TIESSEN, DPM
Active Sole ProprietorDR. JON R TIESSEN, DPM is a Podiatrist healthcare provider located in OAK HARBOR, Washington. NPI 1912918665 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · OAK HARBOR, WA
Registration Details
- NPI Number
- 1912918665
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2006 (19.987881747809 yrs)
- Last Updated
- Jul 21, 2008
- License
-
PO00000673 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1100 SW BOWMER STSUITE A-103OAK HARBOR, WA, 982773119Browse WA providers · Browse ZIP 98277
- Phone
- 3606793117
- Fax
- 3606793118
- Primary Specialty
-
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.