Tanasbourne Pediatrics, Llc

NPI 1245436385 - Pediatrics - 208000000X

NPI Details
NPI 1245436385
Enumeration Date 06/25/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RAQUEL MARIE RAQUEL
Position PHYSICIAN
Phone (503) 690-8195
Fax (503) 629-5806
Practice Location
1881 NW 185TH AVE
SUITE 207
ALOHA OR, 97006-6822, US
Phone (503) 690-8195
Fax (503) 629-5806
Business Location
1881 NW 185TH AVE
SUITE 207
ALOHA OR, 97006-6822, US
Phone (503) 690-8195
Fax (503) 629-5806
Toxanomy
Taxonomy Code 208000000X
License State Oregon
License Number MD21108
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According to our database, Tanasbourne Pediatrics, Llc NPI is 1245436385, taxonomy code is 208000000X and license number is MD21108, license state is located at Oregon. Tanasbourne Pediatrics, Llc physically located at 1881 Nw 185th Ave, Aloha OR, 97006-6822. NPI Number 1033115704 has the healthcare provider type.

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1245436385 NPI number is provided on an as is basis without warranty of any kind. 1245436385 is maintained by the National Plan & Provider Enumeration System. The contents of Tanasbourne Pediatrics, Llc are for informational purposes only.