Individual
TENLEY JEAN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 NE 87TH AVE STE 260, VANCOUVER, WA 98664
(360) 882-2778
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(206) 543-3750
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD60671196
WA
Other
Enumeration date
04/06/2012
Last updated
08/05/2018
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