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1124862610
ELLESON RENEE TINKLE
PORTLAND, OR
NPI
1124862610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OR 10023414)
Enumeration Date
2024-06-20
Last Update Date
2024-06-20
Business Address
ELLESON RENEE TINKLE
2311 NW NORTHRUP ST
PORTLAND, OR 97210-2994
Phone number: 877-658-3594
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Mailing Address
ELLESON RENEE TINKLE
2311 NW NORTHRUP ST
PORTLAND, OR 97210-2994
Phone number:
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