Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tanasbourne Family Medicine LLC

Organization Family Medicine Physician · NPI 1144383993

Tanasbourne Family Medicine LLC provides Family Medicine Physician services in Beaverton, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17200 NW Corridor Ct Ste 105
Beaverton, OR 97006-3295 Not confirmed with CMS for 18 years — call before visiting
Phone: (503) 614-8400
Fax: (503) 614-8411
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD15139 (OR)

Record details

NPI number1144383993
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Craig Myers — Owner · (503) 614-8400
NPI enumeratedDecember 19, 2006
Last updated in NPPESFebruary 8, 2008
Mailing address17200 Nw Corridor Ct, Ste 105, Beaverton, OR 97006-3295

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