Individual
JOHN PHILIP TABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3270 SW PAVILION LOOP, PORTLAND, OR 97239
(503) 494-8311
Mailing address
3270 SW PAVILION LOOP, PORTLAND, OR 97239
(503) 494-8311
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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