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1114520863
ROGER VAN TUNKS
PORTLAND, OR
NPI
1114520863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 202010448NP-PP)
Enumeration Date
2020-11-17
Last Update Date
2020-11-17
Business Address
ROGER VAN TUNKS PMHNP
7105 SW VARNS ST STE 270
PORTLAND, OR 97223-8173
Phone number: 503-389-1500
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Mailing Address
ROGER VAN TUNKS PMHNP
29242 SW VILLEBOIS DR S
WILSONVILLE, OR 97070-7315
Phone number: 503-799-2300
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