Individual
JANELLE MARIE S. TOMAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 N GRAHAM ST STE 125, PORTLAND, OR 97227-1683
(503) 413-3714
Mailing address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
AMD-1021
HI
363A00000X
Physician Assistant
Primary
PA202005
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/02/2020
Last updated
07/01/2021
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