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NPI Code Detail

MEDICARE: ALICIA M TONNIES MD

MEDICARE:   ALICIA M TONNIES  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD155795OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548202013
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA M TONNIES MD
Provider Business Mailing Address
First Line : 2400 LANCASTER DR NE
Second Line :
City : SALEM
State : OR
Zip : 97305-1221
Country : US
Telephone Number : 503-361-5400
Fax Number : 503-361-5401
Provider Business Practice Location Address
First Line : 2400 LANCASTER DR NE
Second Line :
City : SALEM
State : OR
Zip : 97305-1221
Country : US
Telephone Number : 503-361-5400
Fax Number : 503-361-5401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2006
Last Update Date : 02/04/2022

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Directions to “ ALICIA M TONNIES MD” Practice Location

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