Individual
JOAN M TENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8562
(503) 418-5505
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD185691
OR
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD60556854
WA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD185691
OR
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD60556854
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9023358
—
RI
Enumeration date
05/28/2006
Last updated
03/17/2018
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