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RYAN TATEISHI
Psychiatric/Mental Health Nurse Practitioner
NPI: 1003315045IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered Nurse — Psychiatric/Mental Health
Code: 163WP0808X
RN60364120(WA)
Nurse Practitioner — Psychiatric/Mental Health
Code: 363LP0808X
201900796NP(OR)201900796NP-PP(OR)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2018
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Contact & Hours
- Address
- 117 NW 8TH ST
MCMINNVILLE, OR 97128 - Phone
- (503) 379-0208
Quick Facts
- NPI
- 1003315045
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 4
- Locations
- 2
- Years in Practice
- 8
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