Individual
TANNER JOHN BARLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
1610 C ST, SUITE 103, VANCOUVER, WA 98663-3400
(360) 694-0300
Mailing address
1610 C ST, SUITE 103, VANCOUVER, WA 98663-3400
(360) 694-0300
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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