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Individual

JULIA E TANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1130 NW 22ND AVE STE 400, PORTLAND, OR 97210-2971
(503) 413-6722
(503) 413-6563
Mailing address
PO BOX 3808, PORTLAND, OR 97208-3808
(503) 413-3900
(503) 413-4449

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD15729
OR

Other

Enumeration date
03/14/2006
Last updated
03/24/2022
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