Individual
DR. TANIE HOTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
205 MAIN ST., AUMSVILLE, OR 97325-9018
(503) 749-4734
(503) 749-3745
Mailing address
PO BOX 139, AUMSVILLE, OR 97325-0139
(503) 749-4734
(503) 749-3745
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD23103
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287200
—
OR
Enumeration date
08/03/2006
Last updated
12/01/2011
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