Individual
DANIELLE DJOUMBI TIENTCHEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210
(503) 413-8407
(503) 413-6951
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2009015768
MO
207RC0000X
Cardiovascular Disease Physician
2016008070
MO
207RC0000X
Cardiovascular Disease Physician
Primary
MD188961
OR
207RC0000X
Cardiovascular Disease Physician
P3086
TX
Other
Enumeration date
06/21/2009
Last updated
10/22/2019
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