Individual provider · Type 1 NPI

Tannia Lyn Fleming, PA-C

Surgical Physician Assistant · Portland, OR

NPI number 1710016050 Active

Practice location

3303 SW Bond Ave, 8th Floor
Portland, OR 97239-4501

Call (503) 494-9888 Map

Fax (503) 494-1760

Mailing address

3181 SW Sam Jackson Park Rd, Suite 2360
Portland, OR 97239-3011

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA01209 (OR)
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1710016050

Tannia Lyn Fleming, PA-C's National Provider Identifier is 1710016050, issued on Mar 4, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on Feb 3, 2021.