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Individual

MEGAN ROCHELLE TINLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8122
Mailing address
13234 SW PORTIA LN, KING CITY, OR 97224-3123
(503) 869-8454

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
200742768RN
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200742768RN
NURSING LICENSE
OR
Enumeration date
05/24/2019
Last updated
05/24/2019
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