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Individual

MARY ELIZABETH TANSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, OREGON HEALTH & SCIENCE UNIVERSITY MAILCODE: L579, PORTLAND, OR 97239-3011
(503) 494-8652
Mailing address
3181 SW SAM JACKSON PARK RD, OREGON HEALTH & SCIENCE UNIVERSITY MAILCODE: L579, PORTLAND, OR 97239-3011
(503) 494-8652

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
161601
OR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/25/2009
Last updated
03/25/2013
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