TANYA NEELY
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1760008908- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 4550 KRUSE WAY STE 125, LAKE OSWEGO, OR, 970353533
- Phone
- (503) 369-3135
- Fax
- (855) 790-9134
Specialties & Taxonomies
Registered Nurse, Critical Care Medicine
License: WA #60137227
Nurse Practitioner, Family
Primary License: WA #AP61127888