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Mrs. Tania Jeanette Modeliste, NURSEPRACTITIONER
Family Nurse Practitioner in Hillsboro, Oregon
NPI 1346984606

Tania Jeanette Modeliste is a Family Nurse Practitioner based in Hillsboro, OR and is specialized in Family. Tania Jeanette Modeliste practices in Hillsboro, OR and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Tania Jeanette Modeliste is 1346984606 and holds a License No. F11210527 (Oregon).

The current practice location address for Tania Jeanette Modeliste is 1778 Ne Cornell Rd, Hillsboro, OR and can be reached out via phone at 855-722-9700.

Location: 1778 Ne Cornell Rd, Hillsboro, OR, 97124-2740
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Provider Profile Details
NPI Number
1346984606
Provider Name
Tania Jeanette Modeliste
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
1778 Ne Cornell Rd, Hillsboro, OR, 97124-2740
Phone Number
855-722-9700
Fax Number
Provider Enumeration Date
04/22/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
202205372NP-PP 01 OR LICENSE
institution
Provider Business Practice Location Address Details
Address
1778 Ne Cornell Rd
City
State
Zip
97124-2740
Phone Number
855-722-9700
Fax Number
person
Provider Business Mailing Address Details
Address
1778 Ne Cornell Rd
City
State
Zip
97124-2740
Phone Number
855-722-9700
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
F11210527 (Virginia)
Definition
Definition to come...
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