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:
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Health care specialties

SpecialtyCodeLicense #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 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497750715 NPPES
Oregon MEDICAID 500603628
Oregon MEDICAID 9659657

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