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Mary K. Tegger, PA-C
Medical Physician Assistant in Portland, Oregon
NPI 1902813736

Mary K. Tegger is a Medical Physician Assistant based in Portland, OR and is specialized in Medical. Mary K. Tegger practices in Portland, OR and has the professional credentials of PA-C. The NPI Number for Mary K. Tegger is 1902813736 and holds a License No. 152807 (Oregon).

The current practice location address for Mary K. Tegger is 619 Nw 6Th Ave Fl 3, Portland, OR and can be reached out via phone at 503-988-5020 and via fax at 503-988-5022.

Location: 619 Nw 6Th Ave Fl 3, Portland, OR, 97209-3964
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Provider Profile Details
NPI Number
1902813736
Provider Name
Mary K. Tegger
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
619 Nw 6Th Ave Fl 3, Portland, OR, 97209-3964
Phone Number
503-988-5020
Fax Number
503-988-5022
Provider Enumeration Date
08/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
022959 05 OR
152807 01 OR OREGON PA LICENSE
institution
Provider Business Practice Location Address Details
Address
619 Nw 6Th Ave Fl 3
City
State
Zip
97209-3964
Phone Number
503-988-5020
Fax Number
503-988-5022
person
Provider Business Mailing Address Details
Address
619 Nw 6Th Ave Fl 3
City
State
Zip
97209-3964
Phone Number
503-988-5020
Fax Number
503-988-5022
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
152807 (Oregon)
Definition
Definition to come...
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