Tanasbourne Family Medicine LLC

NPI #1144383993 in Beaverton, Oregon

Provider Information

NPI Number: 1144383993
Entity Type: Organization
Organization Name: Tanasbourne Family Medicine LLC
Primary Specialty: Family Medicine
Enumeration Date: Dec 19, 2006
Last Updated: Feb 8, 2008

Practice Location

Address: 17200 NW CORRIDOR CT
Address 2: STE 105
City: Beaverton
State: Oregon
ZIP Code: 97006-3295
Phone: (503) 614-8400

Authorized Official

Name: DR. CRAIG GILPIN MYERS, M.D.
Title: OWNER
Phone: (503) 614-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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