Individual
ANTHONY TANGALIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T
Contact information
Practice address
4060 SW 110TH AVE, BEAVERTON, OR 97005-3017
(503) 803-9076
(503) 350-0301
Mailing address
4060 SW 110TH AVE, BEAVERTON, OR 97005-3017
(503) 803-9076
(503) 350-0301
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16711
OR
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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