Tennant, Robert E
Tennant, Robert E is an individual health care provider with primary practice located at 11782 Sw Barnes Rd Suite 300, Portland OR 97225-5914. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Tennant, Robert E can be contacted via phone (503) 214-5200.Contact Information
Primary practice address
11782 Sw Barnes Rd Suite 300
Portland OR 97225-5914
Phone: (503) 214-5200
Fax: (503) 906-6613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 16898 | Oregon |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | MD16898 | Oregon |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD16898 | Oregon |
Profile Details
| NPI number | 1508884057 |
|---|---|
| LBN Legal business name | Tennant, Robert E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | May 23rd, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508884057 | NPPES |
| Oregon | MEDICAID | 020383 |
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