Stella C Tanedo MD

NPI 1790790582 - Internal Medicine - 207R00000X

NPI Details
NPI 1790790582
Gender Female
Enumeration Date 07/30/2006
Last Updated 02/17/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
12800 BOTHELL EVERETT HWY
SUITE 180
EVERETT WA, 98208-6642, US
Phone (425) 316-5130
Fax (425) 225-1004
Business Location
PO BOX 3360
PORTLAND OR, 97208-3360, US
Phone (866) 366-2983
Fax
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number G79170
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According to our database, Stella C Tanedo MD NPI is 1790790582, taxonomy code is 207R00000X and license number is G79170, license state is located at California. Stella C Tanedo MD physically located at 12800 Bothell Everett Hwy, Everett WA, 98208-6642. NPI Number Stella C Tanedo MD has the Individual type.

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1790790582 NPI number is provided on an as is basis without warranty of any kind. 1790790582 is maintained by the National Plan & Provider Enumeration System. The contents of Stella C Tanedo MD are for informational purposes only.