Organization
TANASBOURNE FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG GILPIN MYERS M.D. (OWNER)
(503) 614-8400
Entity
Organization
Contact information
Practice address
17200 NW CORRIDOR CT, STE 105, BEAVERTON, OR 97006-3295
(503) 614-8400
(503) 614-8411
Mailing address
17200 NW CORRIDOR CT, STE 105, BEAVERTON, OR 97006-3295
(503) 614-8400
(503) 614-8411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD15139
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154344
—
OR
Enumeration date
12/19/2006
Last updated
02/08/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us