Individual
DR. PAUL LOUIS TESAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1870A SAINT HELENS ST, SAINT HELENS, OR 97051-1747
(503) 397-9038
(503) 397-7115
Mailing address
PO BOX 929, SAINT HELENS, OR 97051-0929
(503) 397-9038
(503) 397-7115
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD09962
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159913
—
OR
Enumeration date
11/21/2006
Last updated
07/08/2007
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