TANASBOURNE FAMILY MEDICINE LLC

BEAVERTON, OR
NPI1144383993
Entity TypeOrganization
Authorized ContactCRAIG GILPIN MYERS
Owner
503-614-8400
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  MD15139)
Enumeration Date2006-12-19
Last Update Date2008-02-08
Business Address
TANASBOURNE FAMILY MEDICINE LLC
17200 NW CORRIDOR CT STE 105
BEAVERTON, OR 97006-3295
Phone number: 503-614-8400
Mailing Address
TANASBOURNE FAMILY MEDICINE LLC
17200 NW CORRIDOR CT STE 105
BEAVERTON, OR 97006-3295
Phone number: 503-614-8400