Individual
MRS. TINA MARIE GALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2158 EXCHANGE ST, SUITE 304, ASTORIA, OR 97103-3316
(503) 325-8315
Mailing address
2158 EXCHANGE ST # 304, ASTORIA, OR 97103-3316
(503) 325-8315
(503) 325-8602
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
097000368RN
OR
363L00000X
Nurse Practitioner
Primary
200450118NP
OR
363LF0000X
Family Nurse Practitioner
200450118NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437229366
—
WA
01
—
231893
MEDICAID: FQHC
OR
05
—
247358
—
OR
01
—
381852
MEDICARE: FQHC
OR
Enumeration date
11/08/2006
Last updated
07/21/2022
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