Individual
TATYANA HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
917 SW OAK ST, PORTLAND, OR 97205-2829
(971) 808-6597
Mailing address
2654 WINDSTREAM ST, FOREST GROVE, OR 97116-3030
(971) 506-7049
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201401428
OR
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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