Most Relevant Information
Provider Data
| NPI Number: | 1003315045 |
| Provider Name: | RYAN TATEISHI |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0808X |
| Specialty: | Registered Nurse |
| License Number: | RN60364120 |
Most Important Dates
| Enumeration Date: | 02/05/2018 |
| Last Updated: | 03/25/2024 |
Provider Practice Location
11740 SW 68TH PKWY STE 200
TIGARD
OR
972239058
Practice Location Phone/Fax
| Phone: | 4254774216 |
| Fax: |
Provider Mailing Location
117 NW 8TH ST
MCMINNVILLE
OR
971285560
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |