Eagle, Tara Lyn

Eagle, Tara Lyn is an individual health care provider with primary practice located at 2800 N Vancouver Ave Suite 230, Portland OR 97227-1630. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Eagle, Tara Lyn can be contacted via phone (503) 413-2901.

Contact Information

Primary practice address
2800 N Vancouver Ave Suite 230 Portland OR 97227-1630
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DO154327 Oregon
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X DO154327 Oregon

Profile Details

NPI number 1023213436
LBN Legal business name Eagle, Tara Lyn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Nov 6th, 2018 - about 7 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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