Individual
DR. AUDREY ELLEN TARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1040 NW 22ND AVE, SUITE 600, PORTLAND, OR 97210-3041
(503) 413-5787
(503) 413-5788
Mailing address
1040 NW 22ND AVE, SUITE 600, PORTLAND, OR 97210-3041
(503) 413-5787
(503) 413-5788
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
MD00040629
WA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
MD23494
OR
207VX0000X
Obstetrics Physician
MD23494
OR
Other
Enumeration date
08/31/2006
Last updated
07/15/2019
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