Organization
TALENT CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAX E TENSCHER FNP (OPERATIONS MEMBER)
(541) 535-9108
Entity
Organization
Contact information
Practice address
312 E MAIN ST, TALENT, OR 97540
(541) 535-9108
(541) 535-8809
Mailing address
PO BOX 422, TALENT, OR 97540-0422
(541) 535-9108
(541) 535-8809
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500668536
—
OR
Enumeration date
07/25/2013
Last updated
03/26/2014
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