Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSELA D. TAN, M.D.
ActiveJESSELA D. TAN, M.D. is a Sports Medicine (IM) healthcare provider located in LONGVIEW, Washington. NPI 1619057189 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · LONGVIEW, WA
Registration Details
- NPI Number
- 1619057189
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 17, 2006 (19.846898520832 yrs)
- Last Updated
- Mar 20, 2024
- Licenses
-
MD185349 (OR)MD60799260 (WA)MD60799260 (WA)
Practice Information
- Address
-
1615 DELAWARE STLONGVIEW, WA, 986322367Browse WA providers · Browse ZIP 98632
- Phone
- 3604147800
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Sports Medicine (IM)
- Additional Specialty
- Sleep Medicine
Other Sports Medicine (IM) Providers in LONGVIEW, WA
| Name | Credential | NPI |
|---|---|---|
| DR. TERESA DUARTE GREEN | MD | 1962496828 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.