Individual
MRS. TINA LOUISE LANDEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9250 SW HALL BLVD, TIGARD, OR 97223-6721
(503) 293-0161
Mailing address
9250 SW HALL BLVD, TIGARD, OR 97223-6721
(503) 293-0161
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201705871NP-PP
OR
Other
Enumeration date
07/27/2017
Last updated
09/27/2018
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