TANASBOURNE FAMILY MEDICINE LLC NPI 1144383993

NPI Information

TANASBOURNE FAMILY MEDICINE LLC is a family medicine in Beaverton, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TANASBOURNE FAMILY MEDICINE LLC NPI is 1144383993. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17200 NW CORRIDOR CT
STE 105
BEAVERTON, OR
ZIP 97006-295
Phone: (503) 614-8400
Fax: (503) 614-8411

The provider's authorized official is Craig Gilpin Myers .
The authorized official title is Owner and has the following contact phone number (503) 614-8400.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 2/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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