Organization
BARBARA J TESNOHLIDEK MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA J TESNOHLIDEK MD (PROVIDER)
(541) 881-7140
Entity
Organization
Contact information
Practice address
351 SW 9TH ST, ONTARIO, OR 97914
(541) 881-7140
Mailing address
5319 SW WESTGATE DR, #241, PORTLAND, OR 97221-2432
(503) 297-7223
(503) 297-7603
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD18754
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061833
—
OR
Enumeration date
03/13/2007
Last updated
10/24/2007
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