Individual
DIANA MARIE TATSUMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3805 EDWARDS RD STE 450, CINCINNATI, OH 45209-1948
(503) 494-3633
Mailing address
2730 SW MOODY AVE, PORTLAND, OR 97201-5042
(503) 494-3633
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007166RX
OH
Other
Enumeration date
04/30/2020
Last updated
11/16/2023
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