Pangborn, Tawna Renee

Pangborn, Tawna Renee is an individual health care provider with primary practice located at 19260 Sw 65Th Ave Suite 435, Tualatin OR 97062-5701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pangborn, Tawna Renee can be contacted via phone (503) 692-2032.

Contact Information

Primary practice address
19260 Sw 65Th Ave Suite 435 Tualatin OR 97062-5701
Phone: (503) 692-2032
Fax: (503) 692-4450
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200450062NP Oregon

Profile Details

NPI number 1619969771
LBN Legal business name Pangborn, Tawna Renee
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Feb 28th, 2018 - about 6 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 1619969771 NPPES
Washington MEDICAID 1060461
Washington MEDICAID 213419

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