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Individual

DR. GREGORY W TANKSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
335 SE 8TH AVE, TUALITY COMMUNITY HOSPITAL, HILLSBORO, OR 97123-4246
(503) 681-1111
Mailing address
335 SE 8TH AVE, TUALITY COMMUNITY HOSPITAL, HILLSBORO, OR 97123-4246
(503) 681-1111

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
222336
MA
207P00000X
Emergency Medicine Physician
Primary
MD00048109
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8487340
WA
Enumeration date
03/01/2007
Last updated
02/24/2009
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