Individual
TIERNEY ELIZABETH SATHIANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2570 NW EDENBOWER BLVD STE 100, ROSEBURG, OR 97471-6214
(541) 677-7200
(541) 229-3309
Mailing address
2570 NW EDENBOWER BLVD STE 100, ROSEBURG, OR 97471-6214
(541) 677-7200
(541) 229-3309
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101024358
MI
207P00000X
Emergency Medicine Physician
Primary
DO213853
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500811937
—
OR
Enumeration date
07/05/2018
Last updated
07/10/2025
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