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Tara Pemberton, PA-C
Medical Physician Assistant in Portland, Oregon
NPI 1275803462

Tara Pemberton is a Medical Physician Assistant based in Portland, OR and is specialized in Medical. Tara Pemberton practices in Portland, OR and has the professional credentials of PA-C. The NPI Number for Tara Pemberton is 1275803462 and holds a License No. (Oregon).

The current practice location address for Tara Pemberton is 9495 Sw Locust St, Portland, OR and can be reached out via phone at 503-505-5937 and via fax at 503-505-5922. You can also correspond with Tara Pemberton through the mailing address at 9495SWLOCUST ST A, PORTLAND, OR - 97223-6683 (mailing address contact number: 503-636-9011).

Location: 9495 Sw Locust St, Portland, OR, 97223-6683
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Provider Profile Details
NPI Number
1275803462
Provider Name
Tara Pemberton
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
9495 Sw Locust St, Portland, OR, 97223-6683
Phone Number
503-505-5937
Fax Number
503-505-5922
Provider Enumeration Date
01/05/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500643737 05 OR
institution
Provider Business Practice Location Address Details
Address
9495 Sw Locust St
City
State
Zip
97223-6683
Phone Number
503-505-5937
Fax Number
503-505-5922
person
Provider Business Mailing Address Details
Address
9495 Sw Locust St
City
State
Zip
97223-6683
Phone Number
503-505-5937
Fax Number
503-505-5922
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
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Definition
Definition to come...
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