Individual provider · Type 1 NPI

Mary K. Tegger, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1902813736 Active

Practice location

619 NW 6th Ave Fl 3
Portland, OR 97209-3964

Call (503) 988-5020 Map

Fax (503) 988-5022

Mailing address

619 NW 6th Ave Fl 5
Portland, OR 97209-3964

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X152807 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1902813736

Mary K. Tegger, PA-C's National Provider Identifier is 1902813736, issued on Aug 2, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Jan 14, 2020.