Individual
BARBARA TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4540 NE GLISAN ST, PORTLAND, OR 97213-2333
(503) 215-3738
Mailing address
4531 SE BELMONT ST, STE. 100, PORTLAND, OR 97215-1675
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200841252RN
OR
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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