Lee, Tamara R

Lee, Tamara R is an individual health care provider with primary practice located at 2700 Nw Stewart Pkwy , Roseburg OR 97470-1281. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Lee, Tamara R can be contacted via phone (541) 677-4882.

Contact Information

Primary practice address
2700 Nw Stewart Pkwy Roseburg OR 97470-1281
Phone: (541) 677-4882
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X Oregon

Profile Details

NPI number 1992720965
LBN Legal business name Lee, Tamara R
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992720965 NPPES
Oregon MEDICAID 269743

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