Dembrow, Tatyana J
Dembrow, Tatyana J is an individual health care provider with primary practice located at 501 Ne Hood Ave Suite 100, Gresham OR 97030-7303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dembrow, Tatyana J can be contacted via phone (503) 775-4931.Contact Information
Primary practice address
501 Ne Hood Ave Suite 100
Gresham OR 97030-7303
Phone: (503) 775-4931
Fax: (503) 788-7285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 200850159NP FNP-PP | Oregon |
Profile Details
| NPI number | 1497750715 |
|---|---|
| LBN Legal business name | Dembrow, Tatyana J |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Nov 17th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497750715 | NPPES |
| Oregon | MEDICAID | 500603628 | |
| Oregon | MEDICAID | 9659657 |
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