Individual
TINA M. KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, CARDIOLOGY @UHN62, PORTLAND, OR 97239-3011
(503) 494-8750
(503) 494-8550
Mailing address
3181 SW SAM JACKSON PARK RD, CARDIOLOGY @UHN62, PORTLAND, OR 97239-3011
(503) 494-8750
(503) 494-8550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01773
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180162301
—
TX
01
—
8N4896
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/23/2006
Last updated
02/15/2011
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