TANASBOURNE PEDIATRICS, LLC

BEAVERTON, OR
NPI1245436385
Entity TypeOrganization
Authorized ContactRAQUEL MARIE APODACA
Owner
503-690-8195
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
(Licence: OR  MD21108)
Enumeration Date2007-06-25
Last Update Date2026-05-12
Business Address
TANASBOURNE PEDIATRICS, LLC
17895 NW EVERGREEN PKWY STE 110
BEAVERTON, OR 97006-7402
Phone number: 503-690-8195
Mailing Address
TANASBOURNE PEDIATRICS, LLC
17895 NW EVERGREEN PKWY STE 110
BEAVERTON, OR 97006-7402
Phone number: 503-690-8195
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