Individual
MRS. TANNIA LYN FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3303 SW BOND AVE, 8TH FLOOR, PORTLAND, OR 97239-4501
(503) 494-9888
(503) 494-1760
Mailing address
3181 SW SAM JACKSON PARK RD, SUITE 2360, PORTLAND, OR 97239-3011
(503) 494-6406
(503) 494-5050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA01209
OR
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
03/04/2007
Last updated
02/03/2021
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