Individual
SHANTHY TANGONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 SE BASELINE ST, HILLSBORO, OR 97123-4244
(503) 357-6151
Mailing address
4670 POHINA ST, LIHUE, HI 96766-9355
(808) 639-2647
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
09/30/2024
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