Individual
DR. SAMY F TANYOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
12710 SE DIVISION ST, PORTLAND, OR 97236-3134
(503) 988-3816
(503) 988-5903
Mailing address
14751 SW BEARD RD UNIT 104, BEAVERTON, OR 97007-8138
(503) 524-2164
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6650
OR
Other
Enumeration date
11/25/2006
Last updated
07/08/2007
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