SearchOregon1223G0001X

Nathan Tanner, DMD

NPI 1821289984 · on the registry since 2007

Practice

Address
725 N 5th St Ste 101
Jacksonville, OR 97530
Phone
(541) 862-1848
Fax
(541) 474-5005
Organisation at this address
Jacksonville Pharmacy Llc
Jacksonville Pharmacy, Inc.
Sisters Of Providence In Oregon
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-03-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon