Individual
DR. JIMMIE NICK TARRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5331 SW MACADAM AVE STE 307, PORTLAND, OR 97239-3859
(503) 294-7193
(503) 294-0231
Mailing address
5486 SW NATCHEZ ST, TUALATIN, OR 97062-9766
(503) 692-0918
Taxonomy
Speciality
Code
Description
License number
State
208U00000X
Clinical Pharmacology Physician
Primary
MDO7596
OR
Other
Enumeration date
09/15/2008
Last updated
03/07/2023
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