Individual
CHARLES TANEOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7110 SW 140TH PL, BEAVERTON, OR 97008-5556
(503) 720-3006
Mailing address
7110 SW 140TH PL, BEAVERTON, OR 97008-5556
(503) 720-3006
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
200241060RN
OR
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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