Individual
TIANA TYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12240 SW SCHOLLS FERRY RD, TIGARD, OR 97223-3354
(503) 590-7346
Mailing address
12240 SW SCHOLLS FERRY RD, TIGARD, OR 97223-3354
(503) 590-7346
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0017603
OR
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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