Individual
MUKHBINDER SINGH TIWANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
8833 SW 30TH AVE APT 204, PORTLAND, OR 97219-4066
(206) 391-7998
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RN00175307
WA
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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