Individual
TAWNA RENEE PANGBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
19250 SW 90TH AVE, TUALATIN, OR 97062-7585
(503) 692-3750
(503) 691-2324
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200450062NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1060461
—
WA
05
—
213419
—
OR
Enumeration date
08/16/2005
Last updated
10/02/2024
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