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NPI 1326488149 · live from the CMS NPI Registry

Tanya Lynn Widmer Aylward, M.D.

Hospitalist in Portland, OR. National Provider Identifier 1326488149, active.

NPI record

NPI1326488149 Type 1 · individual
StatusActive
Primary specialtyHospitalist 208M00000X
Practice location3181 Sw Sam Jackson Park Rd, Mail Code: Bte119, Portland, OR 97239
Practice phone503-494-1164
EnumeratedJune 25, 2013
Last updatedJanuary 5, 2021
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine207R00000X56205 (AZ)
Internal Medicine207R00000XMD202426 (OR)
Hospitalist primary208M00000XMD202426 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.