Individual
TANI ROSE HONEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.M.S. (O.B.)
Contact information
Practice address
136 W VINE ST, LEBANON, OR 97355-3345
(541) 258-3500
(541) 258-3350
Mailing address
136 W VINE ST, LEBANON, OR 97355-3345
(541) 258-3500
(541) 258-3350
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
136954
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136954
AMERICAN REGISTRY FOR DIAGNOSTIC MEDICAL SONOGRAPHY
—
01
—
912828
OREGON BOARD OF MEDICAL IMAGING
OR
Enumeration date
01/19/2011
Last updated
01/19/2011
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