Individual
TANELL E. OGBEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.F.N.P.
Contact information
Practice address
18010 SW MCEWAN RD, LAKE OSWEGO, OR 97035-7868
(503) 525-7500
(503) 525-7515
Mailing address
PO BOX 6689, PORTLAND, OR 97228-6689
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
200850167NP
OR
363L00000X
Nurse Practitioner
Primary
200850167NP
OR
363L00000X
Nurse Practitioner
AP60098623
WA
363LF0000X
Family Nurse Practitioner
200850167NP
OR
363LF0000X
Family Nurse Practitioner
AP60098623
WA
Other
Enumeration date
02/02/2010
Last updated
11/02/2021
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