Individual
TABBIE J DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5050 NE HOYT ST STE 610, PORTLAND, OR 97213-2985
(503) 467-4761
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9469
MN
363A00000X
Physician Assistant
Primary
PA219051
OR
363AS0400X
Surgical Physician Assistant
PA219051
OR
Other
Enumeration date
12/01/2005
Last updated
02/24/2025
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