Individual
YEVGENY TATARENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9775 SE SUNNYSIDE RD STE 200, CLACKAMAS, OR 97015-5721
(503) 655-8470
Mailing address
9775 SE SUNNYSIDE RD STE 200, CLACKAMAS, OR 97015-5721
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201506836RN
OR
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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