Individual
TENZIN TSERING LAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24900 SE STARK ST STE 205, GRESHAM, OR 97030-3382
(503) 665-1010
Mailing address
4117 NW 12TH AVE, CAMAS, WA 98607-7996
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
202112498
OR
363LF0000X
Family Nurse Practitioner
Primary
10034016
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/20/2021
Last updated
12/04/2024
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