Individual
DR. TARA LYN EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2800 N VANCOUVER AVE, SUITE 230, PORTLAND, OR 97227-1630
(503) 413-2901
Mailing address
2800 N. VANCOUVER AVE. LEGACY CLINIC EMANUEL, SUITE 230, PORTLAND, OR 97277
(503) 413-2901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO154327
OR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
DO154327
OR
Other
Enumeration date
06/15/2007
Last updated
11/06/2018
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