Individual
MS. TANYA LYNN WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5308 N LOMBARD ST, PORTLAND, OR 97203-4218
(888) 227-3312
(971) 282-0085
Mailing address
PO BOX 2908, PORTLAND, OR 97208-2908
(888) 227-3312
(971) 282-0085
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01097
OR
Other
Enumeration date
07/31/2006
Last updated
01/16/2024
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