Provider Demographics
NPI:1750900924
Name:TMS NW PLLC
Entity type:Organization
Organization Name:TMS NW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRPERSON, MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PIPER
Authorized Official - Middle Name:
Authorized Official - Last Name:BUERSMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:503-405-1183
Mailing Address - Street 1:12115 SW 70TH AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-9648
Mailing Address - Country:US
Mailing Address - Phone:503-405-1183
Mailing Address - Fax:
Practice Address - Street 1:12115 SW 70TH AVE STE 202
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-9648
Practice Address - Country:US
Practice Address - Phone:503-405-1183
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TMS NW PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-08
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty