Individual
TAHRA MAHAN DONGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
18080 NW BARTLEY CT, BEAVERTON, OR 97006-3339
(503) 765-8365
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202206361RN
OR
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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