Provider Demographics
NPI:1407634975
Name:TIA HARMS LLC
Entity Type:Organization
Organization Name:TIA HARMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:TIA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:HARMS
Authorized Official - Suffix:
Authorized Official - Credentials:MACP
Authorized Official - Phone:503-559-2233
Mailing Address - Street 1:280 COURT ST NE STE 215
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-3443
Mailing Address - Country:US
Mailing Address - Phone:503-559-2233
Mailing Address - Fax:
Practice Address - Street 1:280 COURT ST NE STE 215
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3443
Practice Address - Country:US
Practice Address - Phone:503-559-2233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health