Individual
DR. TARA RANI PERTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
960 N 16TH ST STE 108, SPRINGFIELD, OR 97477-4175
(541) 345-2205
Mailing address
PO BOX 2511, VANCOUVER, WA 98668-2511
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD60079460
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184739054
—
WA
Enumeration date
02/27/2007
Last updated
03/14/2024
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