Individual
TANA GEGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
890 OAK ST SE, SALEM, OR 97301
(503) 561-8200
Mailing address
PO BOX 13129, SALEM, OR 97309-1129
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
60212
MN
207R00000X
Internal Medicine Physician
Primary
MD184953
OR
208M00000X
Hospitalist Physician
MD184953
OR
Other
Enumeration date
06/01/2012
Last updated
06/04/2025
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