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Individual

DR. BRANDEN DAVID TARLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1111 NE 99TH AVE STE 301, PORTLAND, OR 97220-9442
(503) 963-2707
(503) 963-2802
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R4785
TX
207RG0100X
Gastroenterology Physician
Primary
MD205352
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2210350
WA
05
500807101
OR
Enumeration date
08/14/2013
Last updated
12/03/2025
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