Individual
DR. MICHAEL DAVID TENISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
151 N SUNRISE AVE STE 1205, ROSEVILLE, CA 95661-2932
(916) 780-0110
(916) 536-7241
Mailing address
4197 REED ST, WEST LINN, OR 97068-3741
(503) 919-1664
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
2023025072
MO
2083X0100X
Occupational Medicine Physician
24225
NV
2083X0100X
Occupational Medicine Physician
Primary
C155379
CA
2083X0100X
Occupational Medicine Physician
MD27080
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247407
—
OR
Enumeration date
05/28/2006
Last updated
12/18/2025
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