Individual
SHERIDAN TARNASKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
130 THOMPSON AVE., HEPPNER, OR 97836
(541) 676-5504
(541) 676-8247
Mailing address
PO BOX 9, HEPPNER, OR 97836-0009
(541) 676-5504
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00618
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
999897
—
OR
Enumeration date
07/03/2006
Last updated
05/27/2010
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