Individual
ZACHARY SPENCER TJERNLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3485 S BOND AVE, PORTLAND, OR 97239-4503
(503) 494-6594
(503) 418-9719
Mailing address
813 MAGNOLIA ST, OREGON CITY, OR 97045-2734
(541) 908-2246
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
201140201
OR
363LA2100X
Acute Care Nurse Practitioner
Primary
10033278
OR
Other
Enumeration date
08/12/2024
Last updated
10/02/2024
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