Individual
TINA MEMSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7320 SW HUNZIKER RD STE 300, PORTLAND, OR 97223-2302
(503) 941-3033
Mailing address
3720 S BOND AVE UNIT 608, PORTLAND, OR 97239-4573
(360) 601-9463
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
092007300RN
OR
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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