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1134420656
JONATHAN RICHARD TARDIFF
BEAVERTON, OR
NPI
1134420656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2010-11-15
Last Update Date
2015-10-14
Business Address
Mr. JONATHAN RICHARD TARDIFF PA-C
2935 SW CEDAR HILLS BLVD
BEAVERTON, OR 97005-1342
Phone number: 503-352-6000
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Mailing Address
Mr. JONATHAN RICHARD TARDIFF PA-C
PO BOX 568
CORNELIUS, OR 97113-0568
Phone number: 503-352-8657
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