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Organization
TANASBOURNE FAMILY MEDICINE LLC
Active
Organization
TANASBOURNE FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG GILPIN MYERS M.D. (OWNER)
(503) 614-8400
Entity
Organization
Contact information
Practice address
17200 NW CORRIDOR CT, STE 105, BEAVERTON, OR 97006-3295
(503) 614-8400
(503) 614-8411
Mailing address
17200 NW CORRIDOR CT, STE 105, BEAVERTON, OR 97006-3295
(503) 614-8400
(503) 614-8411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD15139
OR
Other
Enumeration date
12/19/2006
Last updated
02/08/2008
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