Individual
DR. ANDREA C. TONGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4035 MERCANTILE DR, SUITE 201, LAKE OSWEGO, OR 97035-2546
(503) 635-4436
(503) 635-7356
Mailing address
4035 MERCANTILE DR, SUITE 201, LAKE OSWEGO, OR 97035-2546
(503) 635-4436
(503) 635-7356
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD07840
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196949
—
OR
Enumeration date
05/26/2006
Last updated
10/30/2007
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