Organization
TILLIAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK OWEN MCVEE MD (PRESIDENT)
(541) 758-5047
Entity
Organization
Contact information
Practice address
1601 SE COURT AVE, PENDLETON, OR 97801-3217
(541) 278-3228
(541) 278-3219
Mailing address
PO BOX 1893, CORVALLIS, OR 97339-1893
(541) 758-5047
(541) 758-3713
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD29432
OR
Other
Enumeration date
09/09/2009
Last updated
12/28/2009
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