Individual
MR. MICHAEL ANGELO TANTAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
125 NW 20TH PLACE, UNIT NO 511, PORTLAND, OR 97209-1042
(714) 334-4787
Mailing address
125 NW 20TH PL UNIT NO511, PORTLAND, OR 97209-1042
(714) 334-4787
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201060008
OR
367500000X
Certified Registered Nurse Anesthetist
3851
CA
Other
Enumeration date
04/29/2009
Last updated
06/10/2021
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