Individual
TANYA SCHEIBE-MIREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
9135 SW BARNES RD STE 461, PORTLAND, OR 97225-6643
(503) 216-1150
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
201050135
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500632526
—
OR
Enumeration date
01/13/2011
Last updated
07/05/2019
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