| Tanasbourne Kpoj | |
|
17885 Nw Evergreen Pkwy Ste 220 Beaverton OR 97006-7494 | |
| (800) 813-2000 | |
| Not Available |
| Full Name | Tanasbourne Kpoj |
|---|---|
| Speciality | General Practice |
| Location | 17885 Nw Evergreen Pkwy Ste 220, Beaverton, Oregon |
| Authorized Official Name and Position | Stephen Shawn Barton (EXECUTIVE DIRECTOR, REVENUE CYCLE) |
| Authorized Official Contact | 5038132440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanasbourne Kpoj 500 Ne Multnomah St Portland OR 97232-2023 Ph: (800) 813-2000 | Tanasbourne Kpoj 17885 Nw Evergreen Pkwy Ste 220 Beaverton OR 97006-7494 Ph: (800) 813-2000 |
| NPI Number | 1881369361 |
|---|---|
| Provider Enumeration Date | 08/16/2021 |
| Last Update Date | 08/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881369361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261QX0100X | Clinic/center - Occupational Medicine | (* (Not Available)) | Secondary |
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