Tanasbourne Pediatrics, LLC

NPI #1245436385 in Aloha, Oregon

Provider Information

NPI Number: 1245436385
Entity Type: Organization
Organization Name: Tanasbourne Pediatrics, LLC
Primary Specialty: Pediatrics
Enumeration Date: Jun 25, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1881 NW 185TH AVE
Address 2: SUITE 207
City: Aloha
State: Oregon
ZIP Code: 97006-6822
Phone: (503) 690-8195

Authorized Official

Name: DR. RAQUEL MARIE APODACA, MD
Title: PHYSICIAN
Phone: (503) 690-8195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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