Individual
JESSELA D. TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-7800
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
MD185349
OR
207QS1201X
Sleep Medicine (Family Medicine) Physician
MD60799260
WA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MD60799260
WA
Other
Enumeration date
10/17/2006
Last updated
03/20/2024
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